BDSM Activities Negotiation Questionnaire by LadyScream Text version courtesy of the Wizdomme Pages http://www.wizdomme.com PART ONE: GENERAL QUESTIONS & INFORMATION ========================================= A. What is your level of experience? 1. Very experienced 2. Experienced 3. Limited experience 4. Beginner B. How long have you known of your interests? 1. As long as I can remember 2. 5 years or more 3. 1 to 4 years 4. Less than 1 year C. What is your sexual orientation? 1. Heterosexual exclusively 2. Bisexual 3. Homosexual 4. BiCurious D. What kind of relationship do you prefer? 1. Long term, live in 2. Offline, meeting often 3. Offline, meeting occasionally 4. Online only 5. Not sure yet E. Main interest 1. Sensual and physical 2. Psychosexual and mental 3. Both equally F. Are you... (rate each from 1 to 10) ______ Sadistic ______ Masochistic ______ Dominant ______ Submissive G. Your level of interest in bondage: 1. Total helplessness 2. Light bondage 3. Not my favorite thing 4. Outside my limits 5. Never tried it H. Pain (what you are, or what you're looking for) 1. Pain slut 2. Whipping, caning, paddling 3. Light paddling, sensual whipping, no marks 4. Punishment only when necessary 5. Interested, but never tried it 6. WAY beyond limits I. What do you believe the purpose of pain in a session is? 1. Pain is a reward 2. Pain is a punishment 3. For training or correction only 4. Whatever pleases my partner 5. Not sure J. Sex in a scene, for me is... 1. An absolute must 2. Expected, unless punishment is taking place 3. An enhancement 4. Not necessary or expected 5. Out of the question K. Which settings are you comfortable playing in? 1. Public play 2. Scene parties 3. Intimate groups of 1 to 3 other couples 4. Three way play 5. One on one L. Who can know of your activities? 1. No one 2. A very few trusted friends 3. Other scene people 4. Doesn't matter who knows PART TWO: INTERESTS, PREFERENCES, LIMITS ======================================== M. Role Playing: Below are listed several examples of roles to be played by either Dom/me or sub. Please 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 LeatherMan 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 (such as 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 using the following scale: 1 = YES!!! 2 = Mmmm, I like this 3 = Doesn't excite me, but I'll do it for you 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 _____ Furlined 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 _____ Straight Jackets 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 _____ Suspension, 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 123 _____ 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 Stretchers 133 _____ Exhibitionism 66 _____ Water Torture 134 _____ Voyeurism 67 _____ Ice 135 _____ Hand/Ankle Cuffs 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 ? = Unsure T = Thuddy M = Medium S = Stingy H = Heavy Part of Body Bondage Corporal Torture Back/Shoulders _____ _____ _____ Bottom/Thighs _____ _____ _____ Breasts/Chest _____ _____ _____ Genitals _____ _____ _____ Feet/Ankles _____ _____ _____ Wrists _____ _____ _____ * ~ * ~ * ~ * ~ * ~ * ~ * ~ * ~ * ~ * ~ * ~ * ~ * Copyright ©1997-2004 wizdomme.com http://www.wizdomme.com D/s and BDSM Information - BDSM Bookshelf - BDSM Theater - Toyshelf Free BDSM Postcards - Gallery - Personals - Stories - Humor - Sounds