First Name:
Last Name:
Email:
What is your age? (Don't worry, I don't judge!)
Curious to know... How did you find me?
Slixa
Tryst
P411
Twitter
Private Delights
Other
If Other, please let me know what that was!
What is inspiring you to have a session with me?
This question is to make sure you are aware that I am an OUTCALL ONLY provider. (Please check YES to confirm your understanding. More information about clients requiring Incall in the following questions)
Yes
No
This question is to make sure you are aware that I do NOT attend sessions at client's private homes, apartments or offices. (Please check YES to confirm your understanding)
Yes
No
For those who cannot secure an Outcall, I would be happy to book a location on your behalf. This option requires deposit covering the total cost of the location plus 50% of the session donation at the time of booking. Are you interested in this option?
Yes
No
If you are booking an Outcall session, please tell me where your outcall is located:
How long would you like your session to be? (Please note that during the pandemic I am prioritizing clients requesting longer sessions in order to minimize the number of clients I see, in order to minimize my overall exposure risk - for both my clients and myself!)
1.5 hours
2 hours
3 hours
4 hours
6 hours
Overnight session (12 hours)
No Clock Full-Day (24 hours(
Fly Me To You
Desired date of session: (Note: There will be space for alternative dates in the next question.)
If there are other options/alternative dates that would also work for you, please include them here:
I understand that Salma is an OUTCALL ONLY provider.
I understand that Salma does NOT conduct sessions at client's homes, apartments or office.
I understand that Salma will be happy to book an Outcall on my behalf if I am able to secure one myself, provided a deposit of the total cost of the room plus 50% of the session donation is made at the time of booking.
Ideal Session Date:
If there are other options/alternative dates that would also work for you, please include them here:
Ideal Session Time:
Screening and Verification:
Salma's requires the following information from all clients.
1) TWO references from verifiable providers you've seen within the last year.
2) A photo of a valid, government issued photo ID
Screening and Verification:
Salma's requires the following information from all clients.
1) TWO references from verifiable providers you've seen within the last year.
2) A photo of a valid, government issued photo ID
Provider Reference #1 - Name:
Provider Reference #1 - Link to Provider's Currently Running Ad (ie. Personal Website, P411 page, Twitter page):
Provider Reference #1 - Contact Information (ie. Email or Phone Number):
Provider Reference #2 - Name:
Provider Reference #2 - Link to Provider's Currently Running Ad (ie. Personal Website, P411 page, Twitter page):
Provider Reference #2 - Contact Information (ie. Email or Phone Number):
Employment Information (ie. Work website with your name and photo, a LinkedIn profile with a photo and min. 100 contacts ect)
Getting to know you...
I genuinely love getting to know new friends and truly enjoy my work as a companion. Please feel free to answer the following questions in as much detail as you feel comfortable doing. However, please remember that donations provided for our session are for my time and companionship ONLY. While love hearing my client's deepest desires and fantasies, anything that happens between us during our session will be the completely unrelated choices of two consenting adults, and is not contingent on your donation in any way shape or form.
Getting to know you...
I genuinely love getting to know new friends and truly enjoy my work as a companion. Please feel free to answer the following questions in as much detail as you feel comfortable doing. However, please remember that donations provided for our session are for my time and companionship ONLY. While love hearing my client's deepest desires and fantasies, anything that happens between us during our session will be the completely unrelated choices of two consenting adults, and is not contingent on your donation in any way shape or form.
Describe your ideal session with me. You can be as detailed, explicit or playful as you like.
What are your biggest turn-ons on a date?
What is your biggest turn off?
Do you have any passions in life? What is really important to you right now?
Please upload a copy of your photo ID. (NOTE: This will be deleted as soon as it is received. If you do not feel comfortable uploading in here, you are more than welcome to email it to me directly at [email protected] **AT THE SAME TIME AS** you submit this form. Please make sure to also include your full name in the
{"name":"Name:", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Name:, Email:, First Name:","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}

More Surveys

مركز اللغة العربية
1050
          This questionnaire has been approved by the British and Irish Association for Zoos and Aquariums (BIAZA), and the School of EAST Research Ethics Committee at the University of Suffolk.   Study Title: Trends in Venomous Snake Holdings in UK Zoos, and Causes.Research Lead: Lily Sparrow, [email protected] Supervisor: Dr Christopher Turner, [email protected] Supervisors: Dr Chris Michaels (ZSL London Zoo), Iri Gill (Chester Zoo).   You are invited to take part in a questionnaire for the BIAZA research project focused on identifying the causes behind trends in venomous snake holdings in UK zoos. The following information will help you decide if you would like to take part. You do not have to decide today whether or not you will participate in this study. Please make sure you have read and understood all of the following information prior to your participation.     1. What is the purpose of the study? This study aims to identify the trends in venomous snake holdings in UK zoos (whether holding numbers of venomous snake species have increased, decreased, or been maintained over time), and the causes behind these trends. The data gathered may help to inform future zoo practices regarding venomous snake holdings, and ex situ venomous snake conservation.   2. What will my participation in the study involve? To identify the causes behind the trends, we ask you to complete a questionnaire with Yes/No answers, Strongly Agree to Strongly Disagree scale answers, multiple choice answers, and written answers. This should take you approximately 20-25 minutes to complete.   3. What are the possible benefits and risks of this study? The possible benefits include contributing to a greater understanding of venomous snake holdings in UK zoos; your questionnaire answers may help to inform future decisions regarding venomous snake holdings in UK zoos, and their ex situ conservation. We have identified no possible risks.   4. Do I receive payment for my involvement with the study? You will not receive payment for completing the questionnaire.   5. What if I feel uncomfortable with an aspect of the study? You are free to withdraw at any point from this study, without having to give a reason. If you have completed the study anonymously it will not be possible to remove the data provided, as we will not be able to identify you in any way.    6. What if I do not want to answer a question being asked of me? You may move to the next question if you feel you cannot answer a question.   7. What happens after the study? Data will be treated confidentially, and any publication resulting from this study will report only data that does not identify individual participants.   8. Who do I contact for more information about this study? If you would like more information about this study, please contact the Research Lead Lily Sparrow, [email protected], or the Academic Supervisor Dr Chris Turner, [email protected].   9 Who do I contact if I have concerns about the ethics of this research? Should you have any concerns about the ethics of this research, please feel free to contact the Chair of the Ethics Panel, Professor Emma Bond, [email protected] (01473 338564), the Research Development Manager, Andreea Tocca, [email protected] (01473 338656), or the Academic Supervisor Dr Chris Turner, [email protected].   10. How will my data be stored and for how long? The data obtained from the study will be stored securely on a university OneDrive in password protected files. Only the researchers will have access to it. The data from this study may be put in an Open Access repository for other researchers to use in future research.   Please note that multiple questionnaires may be filled out by different members of the same institution.   The term ‘venomous snake’ refers to snakes with medically significant venom. This is defined as any venomous snake that is listed as a Hazardous Animal under Category 1 of Appendix 12 of the Secretary of State’s Standards of Modern Zoo Practice (1).   (1) Department of Environmental, Food and Rural Affairs, 2012. Secretary of State’s Standards of Modern Zoo Practice. pp.62, 83-87.
46230
Right to Bear Arms-Tyler Powers
840
CorntoBEERfest Feedback
948
Best Staff Halloween Costume
100
MOE Post-training quiz, June 2023
1780
Warm ups
3242
Artists & Creatives of Phoenix
100
Make your own Survey
- it's free to start.