Which of the following scenes would turn you on? 

[ ] = Done to me ( ) = I do to partner

[  ] Vanilla romance (dinner by candlelight, movie dates, cuddling)
[  ] Rough housing, wrestling
[  ] ( ) Massage
[  ] ( ) Making love in a public place
[  ] ( ) In the woods and suddenly a stranger comes from behind and grabs me
[  ] ( ) Stranger walks into the bedroom and finds me playing with myself
[  ] ( )  Rough sex (hair pulling, biting, etc.)
[  ] ( )  Being "raped" __________________________
[  ] ( )  Being in a public place and dominated in a subtle way
[  ] ( )  Being taken out with collar and leash
[  ] ( )  Being used by more than one dominant
[  ] ( )  Playing in combination with other couples
[  ] ( ) Ordered to please others
[  ] ( ) Sitting/kneeling at my Master’s feet
[  ] ( )  Being tied up, caressed and loved
[  ] ( ) Tied up and tickled
[  ] ( ) Tied up and (sexually) teased
[  ] ( ) Tied up in a comfortable position
[  ] ( ) Tied up in discomfort
[  ] ( ) Tied up and (in a sexual way) exposed
[  ] ( ) Tied up and whipped, flogged or caned
[  ] ( ) Restrained and left alone
[  ] ( ) Not being tied up, but verbally commanded to pose in certain positions
[  ] ( ) Tortured without being tied or cuffed
[  ] ( ) Verbally humiliated
[  ] ( ) Breast worship
[  ] ( ) Breast/nipple torture
[  ] ( ) Grabbed by the hair and dragged into the bedroom
[  ] ( ) Spanked because I have been a naughty girl/boy
[  ] ( ) Face slapping
[  ] ( ) Caned, flogged or whipped without being tied or cuffed
[  ] ( ) Used as a slave in public
[  ] ( ) Used as a slave in private
[  ] ( ) Total slave every day of the week
[  ] ( ) Sold on a slave market
[  ] ( ) Used as a dog, pony or pet
[  ] ( ) Physical limits are tested and stretched
[  ] ( ) Mental limits are tested and stretched
[  ] ( ) Sign a contract (i.e. “I am your slave for one week and will do your bidding…”
Others, please specify: ___________________________________ 

I enjoy the following psychodramas

[ ] = for me, ( ) = for my partner

[  ] ( )  Being silent or speaking only when spoken to
[  ] ( )  Dialogue in normal language
[  ] ( )  Dialogue in adapted language ("Master" and "slave")
[  ] ( )  Swearing and filthy talk
[  ] ( )  Reasonable rules
[  ] ( )  Unreasonable rules
[  ] ( )  Obey rules or else
[  ] ( )  Punishment/rewards
[  ] ( )  Begging
[  ] ( )  Feeding (someone feeding me, me feeding someone else)
[  ] ( )  Persuaded, rather than commanded
[  ] ( )  Military/jail type commands
[  ] ( )  Strict training
[  ] ( )  Subtle role play
[  ] ( )  Obvious and explicit role play
[  ] ( )  Make me feel guilty
[  ] ( )  Make me feel cheap
[  ] ( )  Make me feel used
[  ] ( )  Make me feel owned
[  ] ( )  Make me feel useless
[  ] ( )  Objectify me
[  ] ( )  The dominant must have compassion
[  ] ( )  The dom must have no compassion at all
[  ] ( )  The dom must only have compassion after the scene
Others, please specify: ___________________________________

Check any of the following that applies

[  ] I need to be sexually aroused before I enter into a scene
[  ] I need to be sexually aroused when in a scene
[  ] I like as many orgasms as I can get
[  ] An orgasm must only be allowed as a reward
[  ] An orgasm is a must to end the scene
[  ] Orgasms are not important, but nice
[  ] Orgasms are not important at all
[  ] I want to beg for an orgasm first
[  ] I want no sex during a scene
[  ] I want/need sex during a scene
[  ] I want my sexual abilities to be stretched
[  ] Sex should be used to relieve tension
Others, please specify: ___________________________________

Safe words and signals 

Check any of the following that applies

[  ] The submissive discusses what he or she wants ahead of time
[  ] The dominant surprises the sub
[  ] One or more safe words should be established
[  ] All activity should stop immediately when the sub uses a safe word or signal
[  ] When sub uses a safe word or signal the dom should establish if scene can continue
[  ] A scene should go on up to the point where sub uses a safe word or signal
[  ] When the sub cries, the scene should stop
[  ] The dom should be able to read body language
Others, please specify: ___________________________________

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