BDSM Checklist |
Name: baby |
Date: 8/2012 |
|||||||||
Rate your Pleasure of that Activity: 1 = disliked intensely, 2 = gave no pleasure, 3 = was just ok, 4 = liked it, 5 = extremely enjoyed. Would you Like to Do it (again)? Never = a hard limit, No Desire = a soft limit, Forced = if you were forced to you (might) like it, Maybe = if under the right conditions, Yes = absolutely, Fetish Need = this really turns you on and you can't live without it. |
|||||||||||
|
Ever Done? |
|
Would You Like To Do? |
||||||||
ACTIVITY |
Yes |
No |
Rate |
|
Never |
No Desire |
Forced |
Maybe |
Yes |
Fetish Need |
|
Abrasion (scraping, sanding) |
|
x |
|
|
|
x |
|
|
|
|
|
Age play (not pedophilia) |
|
x |
|
|
|
x |
|
|
|
|
|
Anal play |
x |
|
4 |
|
|
|
|
|
x |
|
|
Anal plugs - Small |
x |
|
4 |
|
|
|
|
|
x |
|
|
Anal plugs - Medium |
|
x |
|
|
|
|
|
x |
|
|
|
Anal plugs - Large |
|
x |
|
|
|
|
|
x |
|
|
|
Anal plugs - public under clothes |
|
x |
|
|
|
|
x |
|
|
|
|
Anal sex |
x |
|
3 |
|
|
|
|
|
x |
|
|
Animal role-play |
|
x |
|
|
|
|
|
x |
|
|
|
Arm and leg sleeves (binders) |
|
x |
|
|
|
|
|
x |
|
|
|
Asphyxiation |
|
x |
|
|
|
|
|
x |
|
|
|
Auctioned for Charity |
|
x |
|
|
x |
|
|
|
|
|
|
Ball stretching N/A |
|
|
|
|
|
|
|
|
|
|
|
Bathroom permission control |
x |
|
4 |
|
|
|
x |
|
x |
|
|
Beating hard |
|
X |
|
|
X |
|
|
|
|
|
|
Beating soft |
|
X |
|
|
X |
|
|
|
|
|
|
Bestiality (sex with animals) |
|
X |
|
|
X |
|
|
|
|
|
|
Biting (being bitten) |
x |
|
4 |
|
|
|
|
|
x |
|
|
Blindfolds |
x |
|
4 |
|
|
|
|
|
x |
|
|
Bondage - light |
x |
|
4 |
|
|
|
|
|
x |
|
|
Bondage - heavy |
x |
|
3 |
|
|
|
|
x |
|
|
|
Bondage - all day/multi day |
|
X |
2 |
|
|
|
|
x |
|
|
|
Boot worship |
|
X |
|
|
|
|
|
|
|
|
|
Branding |
|
X |
|
|
x |
|
|
|
|
|
|
Breast bondage |
|
X |
|
|
|
|
|
|
|
|
|
Breast fucking |
x |
|
3 |
|
|
|
|
|
|
|
|
Breast whipping |
|
X |
|
|
|
|
|
x |
|
|
|
Breath Control (choking) |
|
X |
|
|
|
x |
|
|
|
|
|
Breath Control (mild restriction) |
|
X |
|
|
|
|
|
x |
|
|
|
Cages/Cells/Closets (locked inside) |
|
X |
|
|
|
|
|
x |
|
|
|
Caning - English |
|
X |
|
|
|
x |
|
|
|
|
|
Caning - sensation |
X |
|
3 |
|
|
|
|
x |
|
|
|
Catheterization |
|
X |
|
|
|
x |
|
|
|
|
|
Chains (bound with) |
|
X |
|
|
|
|
|
x |
|
|
|
Chamber-pot use |
|
X |
|
|
|
x |
|
|
|
|
|
Chastity device/belts |
|
X |
|
|
|
|
x |
|
x |
|
|
Chauffeuring (driving) |
|
X |
|
|
|
x |
|
|
|
|
|
Chores (housework) |
X |
|
4 |
|
|
|
x |
|
x |
|
|
Chosen clothing for |
X |
|
4 |
|
|
|
x |
|
x |
|
|
|
Yes |
No |
Rate |
|
Never |
No Desire |
Forced |
Maybe |
Yes |
Fetish Need |
|
Chosen clothing for |
X |
|
4 |
|
|
|
x |
|
x |
|
|
Chosen food for |
|
X |
|
|
|
|
|
|
X |
|
|
Clamps - labia/clit area |
|
X |
|
|
|
x |
|
|
|
|
|
Clothespins |
|
X |
|
|
|
|
|
x |
|
|
|
Cock worship |
|
X |
|
|
|
|
|
x |
|
|
|
Collars - worn in private |
X |
|
4 |
|
|
|
|
|
x |
|
|
Collars - worn in public |
X |
|
4 |
|
|
|
|
|
x |
|
|
Contract slave |
X |
|
4 |
|
|
|
|
x |
|
|
|
Corsets |
X |
|
4 |
|
|
|
|
|
x |
|
|
Cross dressing |
|
X |
|
|
|
x |
|
|
|
|
|
Cuffs - leather |
X |
|
4 |
|
|
|
|
|
x |
|
|
Cuffs - metal |
|
X |
|
|
|
|
|
|
x |
|
|
Cunnilingus (eating another woman) |
|
X |
|
|
|
x |
|
|
|
|
|
Cunnilingus (receiving oral) |
X |
|
5 |
|
|
|
|
|
x |
x |
|
Cutting - Blood play |
|
X |
|
|
|
X |
|
|
|
|
|
Daily diary |
|
X |
|
|
|
|
|
x |
|
|
|
Diapers |
|
X |
|
|
|
|
X |
x |
|
|
|
Dilation |
|
X |
|
|
|
x |
|
|
|
|
|
Dildos - vaginal |
X |
|
5 |
|
|
|
|
|
x |
|
|
Dildos - anal |
|
X |
|
|
|
|
|
|
x |
|
|
Double penetration |
|
X |
|
|
|
|
|
x |
|
|
|
Ear plugs |
|
X |
|
|
|
|
|
x |
|
|
|
Edge play (risk taking) |
|
X |
|
|
|
|
|
x |
|
|
|
Electricity - Internal (egg or probe) |
|
X |
|
|
|
|
|
x |
|
|
|
Electricity - TENS unit |
|
X |
|
|
|
|
|
x |
|
|
|
Electricity - Violet Wand |
|
X |
|
|
|
|
|
x |
|
|
|
Enemas - for cleansing |
|
X |
|
|
|
|
|
x |
|
|
|
Enemas - retention/training |
|
X |
|
|
|
|
|
x |
|
|
|
Exercise - forced/required |
|
X |
|
|
|
|
x |
|
x |
|
|
Erotic dancing |
|
X |
|
|
|
|
|
x |
|
|
|
Examinations |
|
X |
|
|
|
|
x |
x |
|
|
|
Exhibitionism (before friends) |
|
X |
|
|
|
x |
|
|
|
|
|
Exhibitionism (before strangers) |
|
X |
|
|
|
x |
|
|
|
|
|
Eye contact restrictions |
|
X |
|
|
|
|
|
x |
|
|
|
Face slapping |
|
X |
|
|
|
x |
|
|
|
|
|
Fantasy gang rape |
|
X |
|
|
x |
|
|
|
|
|
|
Fantasy rape play |
|
X |
|
|
|
|
|
x |
|
|
|
Fellatio (giving head to a Man) |
X |
|
4 |
|
|
|
|
|
x |
|
|
Finger Claws |
|
X |
|
|
|
|
|
x |
|
|
|
Fire play |
|
X |
|
|
|
x |
|
|
|
|
|
Fisting - anal |
|
X |
|
|
x |
|
|
|
|
|
|
Fisting – vaginal – it’s been tried and failed |
|
X |
|
|
|
|
|
x |
|
|
|
Following orders |
X |
|
5 |
|
|
|
x |
|
X |
x |
|
Foot worship |
|
X |
|
|
|
x |
|
|
|
|
|
Forced dressing |
|
X |
|
|
|
|
|
x |
|
|
|
Forced feminization – N/A |
|
|
|
|
|
|
|
|
|
|
|
Forced homosexuality |
|
X |
|
|
|
x |
|
|
|
|
|
|
Yes |
No |
Rate |
|
Never |
No Desire |
Forced |
Maybe |
Yes |
Fetish Need |
|
Forced masturbation |
X |
|
5 |
|
|
|
|
|
x |
|
|
Forced nudity |
X |
|
4 |
|
|
|
|
|
x |
|
|
Forced servitude |
|
X |
|
|
|
|
|
x |
|
|
|
Gags - bit |
|
X |
|
|
|
|
|
x |
|
|
|
Gags - cloth |
|
X |
|
|
|
|
|
x |
|
|
|
Gags - inflatable |
|
X |
|
|
|
x |
|
|
|
|
|
Gags - phallic |
|
X |
|
|
|
x |
|
|
|
|
|
Gags - rubber ball |
|
X |
|
|
|
|
|
x |
|
|
|
Gags - tape |
|
X |
|
|
|
|
|
x |
|
|
|
Genital sex |
x |
|
5 |
|
|
|
|
|
x |
x |
|
Golden showers (urinate on) |
|
X |
|
|
X |
|
|
|
|
|
|
Gor Slave Training (positions) |
X |
|
3 |
|
|
|
|
X |
|
|
|
Group play - gang bang (multi men) |
|
X |
|
|
|
X |
|
|
|
|
|
Group play - multiple women + man |
|
X |
|
|
|
X |
|
|
|
|
|
Group play - Orgy |
|
X |
|
|
|
X |
|
|
|
|
|
Hair pulling |
X |
|
3 |
|
|
|
|
|
x |
|
|
Hairbrush Spankings |
X |
|
5 |
|
|
|
x |
|
x |
x |
|
Harems (serving with other subs) |
|
X |
|
|
|
x |
|
|
|
|
|
Harnessing - leather |
|
X |
|
|
|
|
|
x |
|
|
|
Harnessing - rope |
|
X |
|
|
|
|
|
x |
|
|
|
High heel wearing – Don’t ‘need” to wear them, but really, really like to wear them. |
X |
|
5 |
|
|
|
|
|
x |
|
|
High heel worship – N/A |
|
|
|
|
|
|
|
|
|
|
|
Homage with tongue (licking) |
|
X |
|
|
|
|
|
x |
|
|
|
Hoods (full head) |
|
X |
|
|
|
x |
|
|
|
|
|
Hot wax - dripping on body/genitals |
X |
|
4 |
|
|
|
x |
|
x |
|
|
Hot waxing - hair removal |
X |
|
5 |
|
|
|
|
|
x |
|
|
Human puppy-dog play |
|
X |
|
|
|
|
|
x |
|
|
|
Humiliation in private |
x |
|
4 |
|
|
|
x |
|
x |
x |
|
Humiliation in public |
|
x |
|
|
|
|
x |
x |
|
|
|
Hypnotism |
|
X |
|
|
|
|
|
x |
|
|
|
Ice cubes |
X |
|
4 |
|
|
|
x |
|
x |
|
|
Infantilism (baby play) – As punishment, MAYBE |
|
X |
|
|
|
|
x |
x |
|
|
|
Initiation rites |
|
X |
|
|
|
|
x |
x |
|
|
|
Injections |
|
X |
|
|
|
|
|
x |
|
|
|
Interrogations |
|
X |
|
|
|
|
|
x |
|
|
|
Kidnapping |
|
X |
|
|
|
|
|
x |
|
|
|
Kneeling |
X |
|
3 |
|
|
|
|
|
x |
|
|
Knife play (no blood) |
|
X |
|
|
|
|
|
x |
|
|
|
Leather restraints |
|
X |
|
|
|
|
|
|
x |
|
|
Leather (wearing) |
|
X |
|
|
|
|
x |
|
x |
|
|
Lecturing for misbehaviors |
|
X |
|
|
|
|
|
|
X |
|
|
Lingerie (wearing) |
X |
|
5 |
|
|
|
|
|
x |
|
|
Manacles & Irons |
|
X |
|
|
|
|
|
|
x |
|
|
Manicures – giving – N/A |
|
|
|
|
|
|
|
|
|
|
|
Manicures – receiving – N/A |
|
|
|
|
|
|
|
|
|
|
|
Mantra and meditation |
|
X |
|
|
|
|
|
|
x |
|
|
|
Yes |
No |
Rate |
|
Never |
No Desire |
Forced |
Maybe |
Yes |
Fetish Need |
|
Massage - giving |
X |
|
3 |
|
|
|
|
|
x |
|
|
Massage - receiving |
X |
|
3 |
|
|
|
|
|
x |
|
|
Masturbation |
X |
|
5 |
|
|
|
|
|
x |
x |
|
Medical scenes |
|
X |
|
|
|
|
|
x |
|
|
|
Milking (made to produce breast milk) |
|
X |
|
|
|
x |
|
|
|
|
|
Modeling for erotic photos |
|
X |
|
|
|
x |
|
|
|
|
|
Mummification - elastic wrap |
|
X |
|
|
|
x |
|
|
|
|
|
Mummification - saran wrap |
|
X |
|
|
|
x |
|
|
|
|
|
Name change |
|
X |
|
|
|
|
|
X |
|
|
|
Nipple clamps |
X |
|
5 |
|
|
|
|
|
x |
|
|
Nipple Piercing |
|
X |
|
|
|
X |
|
|
|
|
|
Nipple Play - Pulls, Tugs, Twists |
X |
|
5 |
|
|
|
x |
|
x |
x |
|
Orgasm control |
X |
|
5 |
|
|
|
x |
|
x |
|
|
Orgasm denial |
|
X |
|
|
|
|
x |
|
x |
|
|
Outdoor scenes |
X |
|
4 |
|
|
|
x |
|
x |
|
|
Pain - mild |
X |
|
5 |
|
|
|
|
|
x |
x |
|
Pain - severe |
X |
|
4 |
|
|
|
|
|
x |
x |
|
Pearl shower (cum on face) |
|
X |
|
|
|
X |
|
|
|
|
|
Pedicures & Foot massages (giving) |
|
X |
|
|
|
x |
|
|
|
|
|
Pedicures & Foot massages (resaving) |
|
X |
|
|
|
x |
|
|
|
|
|
Personality modification |
|
X |
|
|
|
|
|
x |
|
|
|
Phone sex |
|
X |
|
|
|
x |
|
|
|
|
|
Piercing (perm) |
|
X |
|
|
|
x |
|
|
|
|
|
Piercing (temp) |
|
X |
|
|
|
x |
|
|
|
|
|
Pony play |
|
X |
|
|
|
x |
|
|
|
|
|
Prison scenes |
|
X |
|
|
|
|
|
x |
|
|
|
Prostitution, real or fantasy |
|
X |
|
|
x |
|
|
|
|
|
|
Punishment scene |
|
X |
|
|
|
|
x |
|
x |
|
|
Pussy whipping |
|
X |
|
|
|
|
|
x |
|
|
|
Pussy worship |
|
X |
|
|
|
|
|
x |
|
|
|
Riding crops |
X |
|
3 |
|
|
|
|
|
x |
|
|
Riding the horse (crotch torture) |
|
X |
|
|
|
|
|
x |
|
|
|
Rimming (oral/anal play) - receiving |
|
X |
|
|
x |
|
|
|
|
|
|
Rimming (oral/anal play) - giving |
|
X |
|
|
x |
|
|
|
|
|
|
Rituals |
|
X |
|
|
|
|
|
x |
|
|
|
Religious scenes |
|
X |
|
|
|
|
|
x |
|
|
|
Role-playing |
|
X |
|
|
|
|
|
|
x |
|
|
Rope bondage |
X |
|
3 |
|
|
|
|
|
x |
|
|
Rope Bondage - Intricate (Japanese) |
|
X |
|
|
|
X |
|
|
|
|
|
Rubber/late clothing (wearing) |
|
X |
|
|
|
|
|
x |
|
|
|
Scarification (cutting, making scars) |
|
X |
|
|
|
x |
|
|
|
|
|
Scat (brown showers) |
|
X |
|
|
X |
|
|
|
|
|
|
Scratching - receiving |
|
X |
|
|
|
|
|
x |
|
|
|
Scratching - giving |
|
X |
|
|
|
|
|
x |
|
|
|
Sensory deprivation |
|
X |
|
|
|
|
|
x |
|
|
|
Serving as a maid or ashtray |
|
X |
|
|
|
x |
|
|
|
|
|
Serving as furniture |
|
X |
|
|
|
x |
|
|
|
|
|
|
Yes |
No |
Rate |
|
Never |
No Desire |
Forced |
Maybe |
Yes |
Fetish Need |
|
Serving as art |
|
X |
|
|
|
x |
|
|
|
|
|
Serving other Dom’s (supervised only) |
|
X |
|
|
x |
|
|
|
|
|
|
Sexual deprivation |
|
X |
|
|
|
|
|
x |
|
|
|
Shared (given to another only temp) |
|
X |
|
|
x |
|
|
|
|
|
|
Shaving (depilation) |
X |
|
3 |
|
|
|
|
x |
|
|
|
Sleep deprivation |
|
X |
|
|
|
x |
|
|
|
|
|
Slutty clothing |
X |
|
|
|
|
|
x |
|
x |
|
|
Spandex clothing |
|
X |
|
|
|
|
|
x |
|
|
|
Spanking - hand |
X |
|
5 |
|
|
|
|
|
x |
x |
|
Spanking - leather slappers |
X |
|
4 |
|
|
|
|
|
x |
|
|
Spanking - wooden paddles |
X |
|
5 |
|
|
|
|
|
x |
x |
|
Spanking - (OTK) Over The Knee |
X |
|
5 |
|
|
|
|
|
x |
x |
|
Speculums |
|
X |
|
|
|
x |
|
|
|
|
|
Speech Restrictions, what and when. |
|
X |
|
|
|
|
|
x |
|
|
|
Spreader Bars |
X |
|
4 |
|
|
|
|
|
x |
|
|
Standing in corner (punishment) |
|
X |
|
|
|
|
x |
|
x |
|
|
Stocks (head & hands) |
|
X |
|
|
|
|
|
x |
|
|
|
Straight jackets |
|
X |
|
|
|
x |
|
|
|
|
|
Strap-on-dildos (sucking on) |
|
X |
|
|
|
x |
|
|
|
|
|
Strap-on-dildos (penetrated by) |
|
X |
|
|
|
x |
|
|
|
|
|
Strap-on-dildos (wearing) |
|
X |
|
|
|
x |
|
|
|
|
|
Strapping (full body beating) |
|
X |
|
|
|
x |
|
|
|
|
|
Suction Cups |
|
X |
|
|
|
|
|
x |
|
|
|
Suspension - inverted |
|
X |
|
|
|
x |
|
|
|
|
|
Suspension - horizontal |
|
X |
|
|
|
x |
|
|
|
|
|
Suspension - upright |
|
X |
|
|
|
x |
|
|
|
|
|
Swallowing semen |
X |
|
3 |
|
|
|
|
|
x |
|
|
Swallowing urine |
|
X |
|
|
x |
|
|
|
|
|
|
Swapping (with one other couple) |
|
X |
|
|
|
x |
|
|
|
|
|
Swinging (multiple couples) |
|
X |
|
|
|
x |
|
|
|
|
|
Switching roles (Top/bottom) |
|
X |
|
|
|
x |
|
|
|
|
|
Tattooing (inking) |
X |
|
4 |
|
|
|
|
|
x |
|
|
Teasing |
X |
|
4 |
|
|
|
x |
|
x |
|
|
Thumb cuffs (metal) |
|
X |
|
|
|
x |
|
|
|
|
|
Tickling – I’m not ticklish |
|
X |
|
|
|
x |
|
|
|
|
|
Total Power Exchange (TPE) |
|
X |
|
|
|
|
|
|
X |
x |
|
Triple penetration |
|
X |
|
|
|
x |
|
|
|
|
|
Uniform (wearing) |
|
X |
|
|
|
|
|
|
x |
|
|
Vampire Gloves |
|
X |
|
|
|
|
|
x |
|
|
|
Verbal humiliation |
|
X |
|
|
|
|
|
x |
|
|
|
Vibrator - anal |
|
X |
|
|
|
|
|
x |
|
|
|
Vibrator - egg/internal |
|
X |
|
|
|
|
|
|
x |
|
|
Vibrator - genital |
X |
|
5 |
|
|
|
|
|
x |
|
|
Videotaped Scenes - watching |
|
X |
|
|
|
x |
|
|
|
|
|
Videotape Recording of you |
|
X |
|
|
|
x |
|
|
|
|
|
Voyeurism |
|
X |
|
|
|
x |
|
|
|
|
|
Water Torture/Sports |
|
X |
|
|
x |
|
|
|
|
|
|
|
Yes |
No |
Rate |
|
Never |
No Desire |
Forced |
Maybe |
Yes |
Fetish Need |
|
Wattenberg Pinwheel |
X |
|
4 |
|
|
|
|
|
x |
|
|
Wearing symbolic jewelry |
|
X |
|
|
|
|
|
|
x |
|
|
Weight control |
|
X |
|
|
|
|
|
|
x |
|
|
Whipping - cat of 9 |
|
X |
|
|
x |
|
|
|
|
|
|
Whipping - flogger |
X |
|
2 |
|
|
x |
|
|
|
|
|
Whipping - single tail |
|
X |
|
|
x |
|
|
|
|
|
|
Whipping - general |
|
X |
|
|
x |
|
|
|
|
|
|
Wrestling |
|
X |
|
|
|
|
|
x |
|
|
|
List any allergies that the Dom (me) should be aware? (If yes, describe :) This may include allergies to: Latex, food, scents, oils, lotions, wool, feathers, etc. |
None. |
||||||||||
Any medical problems/issues? (If yes, give details :) |
None |
||||||||||
Do you have any known STD's? |
NO |
||||||||||
Have you ever been exposed to HIV/AIDS? |
NO |
||||||||||
When were you last tested? |
June 2012 |
||||||||||
Do you practice safe sex? |
Yes |
||||||||||
Any specific subject not described in this list that the Dom (me) should be concerned with? (If yes describe :) |
No |
||||||||||