Negotiation Questionnaire by LadyScream Click for ready-to-print text version Part One: General Questions and Information A. What is your level of experience? Very experienced Experienced Limited experience Beginner B. How long have you had or known of your interests? As long as I can remember 5 years or more 1 to 4 years Less than 1 year C. What is your sexual orientation? Heterosexual exclusively Bisexual Homosexual BiCurious D. What kind of relationship do you prefer? Long term, live in Offline, meeting often Offline, meeting occasionally Online only Not sure yet E. Main interest Sensual and physical Psychosexual and mental Both equally F. Are you... (rate each from 1=lowest to 10=highest) ______   ______   ______   ______    Sadistic  Masochistic  Dominant  Submissive G. Your level of interest in bondage: Total helplessness Light bondage Not my favorite thing Outside my limits Never tried it H. Pain (what you are, or what you're looking for) Pain slut Whipping, caning, paddling Light paddling, sensual whipping, no marks Punishment only when necessary Interested, but never tried it WAY beyond limits I. What do you believe the purpose of pain in a session is? Pain is a reward Pain is a punishment For training or correction only Whatever pleases my partner Not sure J. Sex in a scene, for me is... An absolute must Expected, unless punishment is taking place An enhancement Not necessary or expected Out of the question K. Which settings are you comfortable playing in? Public play Scene parties Intimate groups of 1 to 3 other couples Three way play One on one L. Who can know of your activities? No one A very few trusted friends Other scene people Doesn't matter who knows Part Two: Interests, Preferences, and Limits M. Role Playing. Listed below are several examples of roles to be played by either Dom/me or sub. List those which you are interested in, and those you'd like to see your partner play. Amazon Baby Barbarian Bitch-Goddess Boss Burglar Child Clergy Cowboy Cowgirl Daddy Doctor Evil Priest Evil Priestess Femme Fatale French Maid God Goddess Hooker Indian Inquisitor Interrogator Hero Kidnap Victim Knight Leather Man Master Mentor Mistress Mommy Nun Nurse Rapist Role Reversal Pet Pimp Pirate Policeman Ponyboy Ponygirl POW Prince Princess Principal Puppy Savage Secretary Sex Object Sissy Slave Slave Owner Slut Student Suspect Teacher Teen Torturer Victim Warrior Wild Beast   Roles I would like to play: ____________________________________________________________ ____________________________________________________________   Roles I would like my partner to play: ____________________________________________________________ ____________________________________________________________   N. List any specific fetishes you have (i.e. foot worship, body types): ____________________________________________________________ ____________________________________________________________ O. List any medical, physical or emotional concerns (past breaks, sprains, chronic conditions or phobias): ____________________________________________________________ ____________________________________________________________ P. List your limits here: ____________________________________________________________ ____________________________________________________________ Q. List your concerns about the depth and exclusivity of a relationship: ____________________________________________________________ ____________________________________________________________ R. List your preferred method of birth control and avoidance of STD's: ____________________________________________________________ ____________________________________________________________ S. Below are listed several D/s activities. Please rate each of these from 1 to 6: 1 = YES!!! 2 = Mmmm, I like this 3 = Doesn't excite me, but I'd do it for my partner 4 = Intriguing, but scary 5 = Embarrassed to admit I want this 6 = Absolutely not!! 1 ______   Spanking, by Hand 69 ______   Hot Wax 2 ______   Leather Paddle 70 ______   Fire and Ice 3 ______   Wooden Paddle 71 ______   Needles 4 ______   Belt or Strap 72 ______   Cutting 5 ______   Switch 73 ______   Abrasions 6 ______   Deerskin Cat o'nine 74 ______   Electric Torture 7 ______   Leather Cat o'nine 75 ______   Digital Sex 8 ______   Braided Cat o'nine 76 ______   Directed Masturbation 9 ______   Knotted Whip 77 ______   Vaginal Sex 10 ______   Rubber Whip 78 ______   Oral Sex 11 ______   Single Lash 79 ______   Vibrators/Dildoes 12 ______   Cane 80 ______   Strap-ons 13 ______   Fiberglass/Plastic Rod 81 ______   Anal Sex 14 ______   Riding Crop 82 ______   Anal Plugs 15 ______   Fur-lined Paddle 83 ______   Multiple Penetrations 16 ______   Mental Bondage 84 ______   Anilingus 17 ______   Silk Scarves 85 ______   Vaginal Fisting 18 ______   Nylon Rope 86 ______   Anal Fisting 19 ______   Cotton Rope 87 ______   Fantasy Rape 20 ______   Chains 88 ______   Directed Bisexuality 21 ______   Leather Bonds 89 ______   Threesomes 22 ______   Spandex Bonds 90 ______   Groups 23 ______   Plastic Wrap 91 ______   Foot Kissing 24 ______   Body Bags 92 ______   Kneeling 25 ______   Steel Shackles 93 ______   Crawling 26 ______   Arm Sleeves 94 ______   Lead on Leash 27 ______   Straightjackets 95 ______   Dirty Words 28 ______   Breast Bondage 96 ______   Verbal Abuse 29 ______   Genital Bondage 97 ______   Public Embarrassment 30 ______   Gags 98 ______   Face Slapping 31 ______   Leather Cuffs 99 ______   Cross Dressing 32 ______   Infibulation 100 ______   Secret Sex in Public 33 ______   Spreader Bars 101 ______   Public Display 34 ______   Ceiling/Wall Hooks 102 ______   Public Sex 35 ______   Cages 103 ______   Public Whipping 36 ______   Slings/Swings 104 ______   Infantilism 37 ______   Stocks 105 ______   Golden Showers 38 ______   Crosses 106 ______   Enemas 39 ______   Pillory 107 ______   Innocent Dress 40 ______   Suspention, on Toes 108 ______   Slutty Dress 41 ______   Suspension, Full 109 ______   Prim and Proper 42 ______   Outdoor Setting 110 ______   Ultra-Feminine 43 ______   Indoor Setting 111 ______   French Maid 44 ______   Public Setting 112 ______   Child/Baby Roles 45 ______   Semi-Public Setting 113 ______   Slave 46 ______   Private Setting 114 ______   Macho 47 ______   1 to 3 Hours 115 ______   Biker 48 ______   3 to 6 Hours 116 ______   Leathers 49 ______   Overnight Duration 117 ______   Spandex 50 ______   Blindfolds 118 ______   Rubber/Latex 51 ______   Hoods 119 ______   Masks/Hoods 52 ______   Headphones/Earplugs 120 ______   Costumes 53 ______   Tickling 121 ______   Lingerie 54 ______   Feathers/Fur 122 ______   Garters/Stockings 55 ______   Sexual Teasing 124 ______   Corsets/Cinches 56 ______   Sexual Denial 124 ______   Boots 57 ______   Chastity Belt 125 ______   High Heels 58 ______   Pinching 126 ______   Tattooing 59 ______   Hair Pulling 127 ______   Body Piercing 60 ______   Nipple Clamps/Clips 128 ______   Branding 61 ______   Clothespins 129 ______   Maid Service 62 ______   Genital Torture 130 ______   Shaving 63 ______   Weights 131 ______   Humiliation 64 ______   Cock Rings 132 ______   Foot Worship 65 ______   Ball Spreaders 133 ______   Exhibitionish 66 ______   Water Torture 134 ______   Voyeurism 67 ______   Ice 135 ______   Voyeurism 68 ______   Oils, Lotions, Spices   T. Listed below are 6 parts of the body and 3 categories. Using the following letter codes, rate each as what is acceptable to you: N = Never L = Light ? = Not Sure T = Thuddy M = Medium   S = Stingy H = Heavy   Body Part Bondage Corporal Torture Back/Shoulders ______ ______ ______ Bottom/Thighs ______ ______ ______ Breasts/Chest ______ ______ ______ Genitals ______ ______ ______ Feet/Ankles ______ ______ ______ Wrists ______ ______ ______ These files are presented for general information only and are not meant to be a "how-to" guide. As with anything, what works for someone else may or may not work for you. Use common sense when exploring new relationships of any type. home | books | toys | gallery | stories | info | personals | e-cards | humor | noize | links | theater   © 1997-2006 wizdomme.com  |  webmaster resources