APPLICATION
Decided you're ready to take the next step and schedule a session with Mistress Simone?  Here is your opportunity to tell Her what, specifically, you are seeking. Take some time and fill out the application in its entirety.  It will aid Mistress Simone in scheduling and tailoring your session.

NOTE: Completion of this application does not guarantee session time availability.  Mistress Simone will respond to your application and request for specific dates and times.  Also please note, this application is designed to aid you in the first step of contacting Mistress Simone and is not a substitute for Her session guidelines.  If this is to be your first session, you must still speak with Mistress Simone via phone.

Phone: 773-991-3908 / Email: MsSimone@Chicago-Mistress.com
Phone Hours: 10am - 10pm CST Seven days a week
Please respect hour limits.

APPLICATION

Name 

E-mail Address 

City : Chicago or St Louis 

Session Time Requested 

Session Time Requested 

Length of Session 

 

Anal Play (Receiving Only)         

 

Ashtray Service

 

Blindfolds                              

 

Boot Worship                        

 

Canes                                  

 

Candle Wax                          

 

Catheters                             

 

Chastity Devices                    

 

Clamps                                 

 

Clothespins                           

 

CBT                               

 

Collars

 

Cross-dressing (Light)

 

Electric Play

 

Enemas

 

Face Slapping

 

Feminization

 

Fire Play

 

Fisting

 

Foot Torment to you

 

Foot Worship to Mistress

 

Floggers

 

Gags

 

Genital Bondage

 

Golden Showers

 

Hairbrush Punishment

 

Hair pulling

 

Hair removal/Shaving

 

Hoods

 

Interrogation Scenes

 

Infantilism

 

Latex

 

Maid Service

 

Medical Exam

 

Mummification

 

Needles

 

Nipple Torment

 

Paddles

 

Plaster Mummification

 

Role Play  

 

Type of Role Play  

 

Saline Injections

 

Sensory Depravation

 

Smoking by Mistress

 

Smothering

 

Sounds

 

Spanking               

 

Spitting                 

 

Temperature Play    

 

Tickling                  

 

Trampling               

 

Vacuum Pumps        

 

Verbal Humiliation   

 

Vibrators                

 

Weights                 

 

Whipping               

Misc. Information

 

Are bruises/marks acceptable?  

 

Other fetishes not listed 

 

Preference of Mistress scene attire (nude is NOT an option) 

 

Possible health issues or limitations         

 

IMPORTANT NOTE: I am not a stripper, a dancer, or a prostitute turned Mistress. You are contacting a serious Mistress who is selective in her clients and enjoys her lifestyle. If you are not a sincere submissive or fetishist, submissive, or masochist, please try elsewhere. This is not a factory assembly line. It is a private dungeon with an experienced Mistress who likes and cares about her submissives.
NO ESCORT, NO MASSAGE, NO DRUGS and NO PROSTITUTION.
END OF DISCUSSION!
ATTENTION Visiting Dominas:
If you are interested in studio space, please feel free to contact me.