Booking

1
Please verify that you are human* This field is required.PROVE IT :D
2
Are you comfortable sending a $100 deposit to aid in verifying your information?
3
Are you comfortable sending real world verification information?* This field is required.As in Valid Photo ID, Active Linkedin with Connections & Profile Image
Yes
No
4
Where did you hear about me?* This field is required.
$ubscription $ite
Manyvids
Google
Referral
Twitter
Tumblr
Instagram
Eros
Tryst
Slixa
Private Delights
Provider
Client
5
What experience are you interested in?* This field is required.
VIP
GFE
FBSM
BDSM
FLR
BRAT
FEMME DOMME
6
How old are you?*For Verification Purposes
7
Do you drink alcohol? * This field is required.
Yes
No
Special Occasions
8
Are you comfortable with my hygiene protocol? Showering & Hand Washing?* This field is required.
YESNO
9
Do you smoke cigarettes? * This field is required.
Yes
No
Rarely
10
Do you smoke 420?* This field is required.
Yes
No
Maybe
11
Do you have any health issues I need to be aware of? * This field is required.This is NOT used to discriminate; this is to gauge your overall well-being and inform me of any injuries, illnesses or ailments that would otherwise impede my ability to collaborate with you professional. Thank you!
ED
Heart Disease
Stroke
Diabetic
Cancer
Arthritis
Hearing Loss
Vision Impairment
Wheel Chair
War & Combat PTSD
Depression or Anxiety
None Disability/Illness
Alcoholism/Addiction
Other *Please explain in my 'Is there anything you want me to know?' section! Thanks!
12
Do you have any food allergies or restrictions I should be made aware of?* This field is required.This is NOT used to discriminate; this is to gauge your overall well-being and inform me of any injuries, illnesses or ailments that would otherwise impede my ability to collaborate with you professional. Thank you!
13
Occupation* This field is required.*For Verification Purposes
14
Session Length* This field is required.
60 minutes
90 minutes
2 hours
3 hours
6 hours
8 hours
13 hours (overnight)
24 hours clock free
15
What date are you looking to book? * This field is required.Please make this date 24 hours in advance. Same Day Fee is an additional $500
Date
Year
Month
Day
16
What back-up date are you looking to book?* This field is required.
Date
Year
Month
Day
17
What time frame works best?* This field is required.Late Nite & Early AM may be subject to additional fee depending on length of engagement.
Morning 7-11
Afternoon 12-5
Evening 5-12
18
You understand payment is due in cash upon arrival to your session?* This field is required.No exceptions. Please plan ahead to avoid any possibilities of not being fully prepared for our sessions.
YESNO
19
Have you been vaccinated for Covid 19?* This field is required.
YESNO
20
Are you practicing wearing a mask in large indoor public spaces?* This field is required.Stadiums, Subways, Ride Shares, Air Planes
YESNO
21
Is there anything you want me to know? *Please do not send explicit or incriminating details about yourself. Your inquiry will be ignored & you will be blocked. Examples: Disability, Trauma, Session Goals, First Timer or Concerns. Questions not found on my FAQ?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
22
What should I call you?* This field is required.Please do not use alias, this is a secure verification form.
First Name
Last Name
23
Phone Number Please* This field is required.
Area Code
Phone Number
24
Yes I've read your site in full & understand your cancellation policy?* This field is required.
YESNO
25
Where are we meeting?*See Minimums
NYC Incall
Long Island
NYC Outcall
Westchester
Connecticut
Upstate New York
Pennsylvania
Massachusetts
Rhode Island
Delware
New Hampshire
Vermont
Los Angeles
New Jersey
San Francisco
Chicago
San Antonio
Asheville
Nashville
Raleigh/Durham
Tuscan
Phoenix
Vegas
Seattle
Portland
Omaha
OKC
San Antonio
Pittsburgh
Cleveland
Miami
Orlando
Atlanta
Maryland
Washington DC
Delaware
West Virginia
Austin
Train Me To You
Fly Me To You
26
Email Please* This field is required.HIGHLY suggest proton mail (note my replies fall into spam folders so please add ramonaflour@protonmail.com to your contact list! Verification code is ONLY to ensure you provide a valid email. PLEASE check your spam folders to avoid missing my correspondence. I typically reply within 48-72 hours maximum but Monday-Friday please during office hour expect quicker reply times. Thank you for your patience! 💕
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
Should be Empty:

Save your progress

Save your progress

Your form submission has been saved as a draft.

Save your progress

Your form submission has been saved as a draft.