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APPLICATION FORM

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Are you over 21 years of age?
Yes
No
Instructions for the applicant: Please complete this questionnaire fully and honestly. All information will be treated with strict confidentiality and used solely for internal evaluation. The intake form is strictly personal, even if you are in a relation
I Agree

"Please make sure your email address is entered correctly. After submitting, you will receive a confirmation in your inbox (check your spam folder too). If you do not receive anything within one hour, your submission did not go through correctly."

Have you ever been a guest at Hotel Domaine 10?
Yes
No
How did you discover Domaine d'O?
Through friends / acquaintances (word of mouth)
Google search results
Facebook
Instagram
Newsletter / mailing Domaine 10
Booking platform
Stay at Domaine 10
Other
Gender
Woman
Man
Other
Date of birth
Day
Month
Year
What is your occupation?
Which political orientation do you feel most aligned with? Your answer is only used to better understand you. You may indicate a direction without naming a specific party.
More left-leaning / progressive
More right-leaning / conservative
Centrist / moderate
Ecological / green-oriented
Social / social-democratic
Liberal / economically oriented
Nationalist / patriotic
I cast a blank or invalid vote
I do not vote
Relationship status
Single
In a relationship
Married
Other
Religious or philosophical background
No religion
Christianity (e.g. Catholic-Protestant)
Islam
Judaism
Buddhism
Hinduism
Other

Who are you beyond work and the daily hustle? What defines you, what are your passions, how do you enjoy life?

It’s not about “perfect answers,” but about giving us a glimpse of who you are – so we can get to know you better and create the right connections within our community. Write as if you were introducing yourself to someone new, in your own words and style.

Select Min 3 to 5 options that best reflect who you are
Please choose Minimum 3 and 5 maximum aspects that most align with your lifestyle
Do you wish to attend with your partner?
Yes
No
I am single
Not sure yet
Interest
Single choice
No Swap – We enjoy the atmosphere and presence of others, but without physical interaction with other guests.
Soft Swap – We are open to intimate moments such as kissing, touching, or oral interaction, without penetration with others.
Full Swap – We are comfortable with full sexual interaction with other guests, including penetration.
Are you interested in attending
Experience
New to this world – We have not participated in this type of event before, but we are curious and open to discovery.
Some experience – We have previously attended similar evenings and are open to new experiences within a safe and discreet environment.
Experienced participants – We are familiar with this type of event and are seeking deeper exploration within an exclusive and aesthetic setting.
Are you comfortable wearing a mask and cape during ceremonies?
Yes
No
I don’t know but i want to try
Today date
Day
Month
Year

Upon receiving and reviewing your completed questionnaire, we will contact you regarding the next steps of your application.

We kindly ask you to fill in this form in English.

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