Name:

What is your age? (Don't worry, I don't judge!)

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

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

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

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!)

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.

If there are other options/alternative dates that would also work for you, please include them here:

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...

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

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