Name:  

Address:  

City:      State: Choose a State Outside US / Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory    Zip:  

If you prefer not to leave the above information, simply fill out the questionnaire that follows, then e-mail or call us when you are ready. We maintain strict privacy, and will not give your email address or personal information to anyone else, ever, for any reason.

E-mail (required):  

At present, I am:   Married   Single   Divorced   Separated

Have you cross-dressed before?    Yes    No   If so, for how long?  

Do you usually dress alone?    Yes    No

Do you use wigs and make-up?    Yes    No

Have you ever used a facilitator?    Yes    No

Was it a positive experience?    Yes  '  No

Why, or why not?  

Have you ever gone out dressed?    Yes    No

What feminine clothing do you own?  
I own:

What is your favorite outfit?  
My favorite outfit is:

What fabrics and colors do you prefer?  
In fabrics and colors, I prefer:

What female role models do you identify with?  
I most identify with:

What female name is appropriate for you?  

The following best describes my feminine persona:

Vixen/Slut                Sissy Maid

Sweet Young Thing  Housewife

Professional Woman  School Girl

Femme Fatale

Other:  

I am most interested the following kinds of activities (check all that apply):

Make-Up       Walking in heels

Lingerie           Finding my look

Role Play         Maid Training   

Voice               Going Out       

Glamour Photography and Modeling

Other:  

What is your favorite fantasy as a woman?  My favorite fantasy as a woman is:

What else should we know about you and your desires?  I'd like you to know that: