Maria Exotic - Screening

* Required Field

About You

Full Name: *

Age: *

Photo ID or Work ID (Optional):

Are you vaccinated from Covid-19? *

Where did you see my advertisement? *

Are you aware there is a 90 minute minimum for new friends? *

Number: *

Email: *

Ethnicity: *

LinkedIn Profile or link to a profile or website associated with you.

Have you taken the Covid-19 booster shot? *

Appointment Request

What date and time did you want to meet? *

How long did you want to hang out for? *

How would you like to send your deposit to reserve time? $100 for an hour. 30% for over 90 minutes. *

Incall or Outcall? (You come to me or I travel to you): *

If yes to Outcall, address?

What are you mainly interested in during our time together? *

Would you like me to save your number/email in my contacts? If no, your info is deleted after our first meet. *

Sexual Health

Have you ever had an STD? *

If yes to previous question what year, and treatment.

Have you ever a blood test specifically for Herpes simplex HSV-2? *

Have you ever tested positive for Herpes simplex HSV-2? If so, what year, and what treatment are you currently on? *

Have you ever tested for HPV? *

Have you ever tested positive for HPV? If yes, what year, and treatment? *

References

Name of the last provider (escort, sex worker) you have visited within the last 6 months? Please include website, number, or email. *

Thank You for filling out the screening form. Do you want me to contact you for an appointment? *

Are you a member of any provider review board’s?(e.g., ter,tnaboard,best,usaS) If yes, username? *

Subscriptions

Would you like to subscribe up to my premium XX Snapchat? Watch me daily. *

Would you like to sign up to my mailing list? For special announcements about my schedule and promos.

My screening form can be filled out in less then a minute. Straight to the point, so it won't take up much of your time.

I would like to know a little about you before we meet. It makes for a better encounter.

The screening process is a crucial as it establishes a threshold for any future meets.
Only serious and respectful inquires will be considered. If you choose to forego I understand and thank you for your interest.

If I have availability, 1-4 hour advance notice for same day incall/outcall appointments. To expedite your request please have reference or employment info ready.

For gents without a provider's reference,

I also offer the option of employment verification all info is handled discreetly. I do require name of company, position at company, company website, and main number. Without this info I will not be able to accomadate an appointment.

Text: 914.216.1222

Email: [email protected]

I only accept cash and bitcoin for appointments.

Links below to send deposit.

AMAZON E-GIFT

WALMART E-GIFT