BDSM Questionnaire
Feel free to utilise this questionnaire to help describe your experience and/or desires, and then forward to me for my consideration.
Rating scale for checklist:
0 = Don't ever ask me to do this.
1 = I don't want to do this activity, but wouldn't object if it was asked of me.
2 = I'm willing to do this activity, but it has no real appeal for me.
3 = I usually like doing this activity, at least on an occasional basis.
4 = I love doing this activity, and would like to experience it on a regular basis.
5 = I love this activity it makes me "hot", and would like it as often as possible.
Note1. Some of these may fall under a few categories (example: Blindolds can be Humiliation & mental bondage)
Note2. Some of these could be used for health reasons too (example forced exercising)
EDGE/MIND PLAY
Y/N # Activity
__ [ ] Abrasion
__ [ ] Asphyxia
__ [ ] Branding
__ [ ] Choking
__ [ ] Cloth Pins
__ [ ] Cutting
__ [ ] Electric (violet wand)
__ [ ] Electric (muscle stimulant unit)
__ [ ] Face slapping
__ [ ] Flesh Hooks
__ [ ] Gang Rape scenes
__ [ ] Genital (weights)
__ [ ] Genital (cloth pins)
__ [ ] Genital (pins/needles)
__ [ ] Genital (rope)
__ [ ] Genital (vise)
__ [ ] Genital whipping
__ [ ] Gun Play
__ [ ] Hair Pulling
__ [ ] Hot wax
__ [ ] Ice
__ [ ] Fire and Ice (same time)
__ [ ] Knife play
__ [ ] Medical scenes
__ [ ] Needles
__ [ ] Piercing
__ [ ] Pinching
__ [ ] Rape Fantasy
__ [ ] Slap Face
__ [ ] Sleep deprivation
__ [ ] Tattoo
__ [ ] TENS units
__ [ ] Tickling
__ [ ] Tit (weights)
__ [ ] Tit (cloth pins)
__ [ ] Tit (pins/needles)
__ [ ] Tit (rope)
__ [ ] Tit (vise)
__ [ ] Torture rack
__ [ ] Water torture
FETISH WEAR
Y/N # Activity
__ [ ] Corsets
__ [ ] French maid
__ [ ] Child/Baby
__ [ ] High Heels
__ [ ] Leather
__ [ ] Lingerie
__ [ ] PVC
__ [ ] Rubber
__ [ ] Slutty
__ [ ] Spandex
__ [ ] Uniforms
__ [ ] Victorian
SEXUAL D/S
Y/N # Activity
__ [ ] Anal
__ [ ] Anal beads
__ [ ] Anal plugs (small)
__ [ ] Anal plugs (large)
__ [ ] Anal fisting
__ [ ] Anal (vibrator/dildo)
__ [ ] Benwa balls
__ [ ] Bi-sexuality
__ [ ] Chastity Belt
__ [ ] Cock Worship
__ [ ] Forced bi-sexuality
__ [ ] Hand jobs (giving)
__ [ ] Hand jobs (receiving)
__ [ ] Masturbation
__ [ ] Orgy (more then 3)
__ [ ] Oral sex (giving)
__ [ ] Oral sex (receiving)
__ [ ] Orgasm Control
__ [ ] Orgasm Denial
__ [ ] Phone sex (voluntary)
__ [ ] Phone sex (forced to have it with others)
__ [ ] Sexual denial (short term)
__ [ ] Sexual denial (long term)
__ [ ] Sexual Double Penetration
__ [ ] Swallow semen
__ [ ] Swapping
__ [ ] Threesomes
__ [ ] Vaginal sex
__ [ ] Vaginal fisting
__ [ ] Vaginal Toys
__ [ ] Vaginal - Anal intercourse (same time)
__ [ ] Voyerims (watching master play w/others)
__ [ ] Voyerism (watching other play)
CORPORAL PUNISHMENT
Y/N # Activity
__ [ ] Belts
__ [ ] Bruises
__ [ ] Cane (leather)
__ [ ] Cane (plastic)
__ [ ] Cat (braided)
__ [ ] Cat (no knots)
__ [ ] Crop
__ [ ] Leather Paddle
__ [ ] Paddle
__ [ ] Spanking
__ [ ] Whip
__ [ ] Wooden Hair Brush
__ [ ] Woodens Paddle
ROLE PLAY
Y/N # Activity
__ [ ] Act as objects (cars, furniture, etc)
__ [ ] Arrested
__ [ ] Baby
__ [ ] Burglar Attack
__ [ ] Call Girl
__ [ ] Cowgirl
__ [ ] Interrogation Scene
__ [ ] Kidnap Scene
__ [ ] Little girl
__ [ ] Maid
__ [ ] Medical Scene
__ [ ] Nun
__ [ ] Rape Scene (one)
__ [ ] Rape Scene (multiple)
__ [ ] Pet Roles
__ [ ] Pony Girl
__ [ ] Secretary
__ [ ] Student
__ [ ] Teenager
__ [ ] Torture Victim
HUMILIATION
Y/N # Activity
__ [ ] Act as objects (furniture, etc)
__ [ ] Age Play
__ [ ] Bathroom use control
__ [ ] Bathroom use in front of others
__ [ ] Blindfolds
__ [ ] Boot worship
__ [ ] Chauffering
__ [ ] Crawl on 4's
__ [ ] Cross Dressing
__ [ ] Curse words (Whore, Slut, etc)
__ [ ] Curtsy in public
__ [ ] Dom chooses food
__ [ ] Dom chooses cloths
__ [ ] Enema
__ [ ] Eye contact restrictions
__ [ ] Foot worship
__ [ ] Forced Cross dressing
__ [ ] Forced dressing
__ [ ] Forced exercising
__ [ ] Forced nudity
__ [ ] Forced masturbation
__ [ ] Forced prostitution (pretend)
__ [ ] Forced slave auction
__ [ ] Forced to be a slave
__ [ ] Forced to wear a leash
__ [ ] Forced to wear see thru clothes
__ [ ] Golden shower
__ [ ] Harem--serving w/other(s)
__ [ ] Hood
__ [ ] Kneeling
__ [ ] Maid services
__ [ ] Mask
__ [ ] Pet roles (act like a dog, cat, etc)
__ [ ] Pet play (forced sex w/pet)
__ [ ] Scat Play
__ [ ] Scolding
__ [ ] Spitting in face
__ [ ] Serve as ashtray
__ [ ] Serve as toilet
__ [ ] Serve as waitress
__ [ ] Serve others (supervised)
__ [ ] Serve others (unsupervised)
__ [ ] Shave head
__ [ ] Shave body hair
__ [ ] Shave pubic hair
__ [ ] Slap face
__ [ ] Spanking (public)
__ [ ] Speech restriction
__ [ ] Stand in corner
__ [ ] Suck pacifier
__ [ ] Swallow urine
__ [ ] Take Pictures
__ [ ] Take Video
__ [ ] Verbal Abuse
__ [ ] Wear Collar everywhere
__ [ ] Wear Diapers
__ [ ] Write on Body (slut, sissy, worthless, etc.)
BONDAGE
Y/N # Activity
__ [ ] Arm Sleeves
__ [ ] Blindfolds
__ [ ] Breasts
__ [ ] Gag
__ [ ] Cage
__ [ ] Chain
__ [ ] Chastity Belts
__ [ ] Genital
__ [ ] Harness
__ [ ] Hoods
__ [ ] Immobilization (short time)
__ [ ] Immobilization (long time)
__ [ ] Inside a closet
__ [ ] Inside a coffin
__ [ ] Katherine wheel
__ [ ] Leather cuffs
__ [ ] Leather restraints
__ [ ] Leg Sleeves
__ [ ] Mask
__ [ ] Mind
__ [ ] Mortuary bag
__ [ ] Mouth bits
__ [ ] Nipple Clamps
__ [ ] Rack
__ [ ] Rope
__ [ ] Saran wrapping
__ [ ] Scarves
__ [ ] Shackles
__ [ ] Sleeping bag
__ [ ] Sling
__ [ ] Spread bar
__ [ ] Steel cuffs
__ [ ] Steel restraints
__ [ ] Stock
__ [ ] Straight jacket
__ [ ] Suspension (regular)
__ [ ] Suspension (up-side down)
__ [ ] Suspension (horizontal)
__ [ ] Tied to a cross
__ [ ] Wrestling