INFORMATION
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"Submissive BDSM Play Partner Check List"
Author Unknown
This questionnaire should be filled out by a sub and provided to their Dom/Top before playing with them.  This will provide a quick "head-start" to identifying limits, negotiating and finding common ground for play.
For each item, you need to provide two answers:

First write "YES" or "NO" next to each item to indicate if you have ever DONE that activity.

Mark N/A if it does not apply to your gender.

Next, indicate for each item how you FEEL about that activity by rating it on a scale of NO or 0 to 5.

NO means you will NOT do that item under any circumstances (a hard limit).
0  (zero) indicates you have utterly no desire to do that activity and don't like doing it (in fact, may loath it) and would ordinarily object to doing it, but you would be willing to do it to please the Dominant if it they really wanted it. (Sometimes called a "soft limit")
1. Means you don't want to do or like to do this activity, but wouldn't object if it were asked of you.
2. Means you are willing to do this activity, but it has no special appeal for you.
3. Means you usually like doing this activity, at least on an irregular or occasional basis.
4. Means you like doing this activity, and would like to experience it on a regular basis.
5. Means the activity is a wild turn-on for you, and you would like it as often as possible.
Mark with an asterisk (*) those items which you are willing to do only with your current sex partner(s), but not with casual play-partners.

Note any additional information that might be important for your Dom to know.

There is intentionally some overlap between categories. Unless otherwise stated, the sub is the recipient of the activity.
Name:
Age:
Height:
Weight:
Hair Color:
Eye Color:

Willingness Experience
No or
yes/no   0-5.
Abrasion
Age play
Anal sex
Anal plugs (small)
Anal plugs (large)
Anal plugs (public, under clothes)
Animal roles
Arm & leg sleeves (arm binders)
Asphyxiation
Auctioned for charity
Bestiality
Beating (soft)
Beating (hard)
Being serviced (sexual)
Being bitten
Blindfolds
Bondage (light)
Bondage (heavy)
Bondage (multi-day)
Bondage (public, under clothing)
Boot worship
Branding
Breast whipping   
Breast/chest bondage  
Breath control   
Brown showers (scat)   
Cages (locked inside of)   
Caning   
Catheterization   
Cattle prod   
Cells/closets (locked inside of)   
Chains   
Chamber pot use   
Chastity belts   
Chauffeuring   
Choking   
Clothespin   
Cock worship   
Collars (worn in private)   
Collars (worn in public)  
Competitions (with other subs)   
Corsets (wearing)   
Cuffs (leather)   
Cuffs (metal)   
Cutting   
Diapers (wearing)  
Diapers (wetting)   
Diapers (soiling)   
Dilation   
Dildos   
Double penetration   
Electricity   
Enemas   
Enemas (retention/punishment)   
Enforced chastity   
Erotic dance (for audience)   
Examinations (physical)   
Exercise (forced/required)   
Exhibitionism (friends)   
Exhibitionism (strangers)   
Eye contact restrictions 
Face slapping
Fantasy abandonment   
Fantasy rape   
Fantasy gang-rape   
Fear    
Fisting (anal)   
Fisting  (vaginal)   
Flame play   
Following orders   
Foot worship   
Forced bedwetting   
Forced dressing   
Forced homosexuality   
Forced masturbation   
Forced nudity (private)   
Forced nudity (around others)   
Forced servitude   
Full head hoods   
Gags (cloth)   
Gags (inflatable)   
Gags (phallic)   
Gags (rubber)   
Gags (tape)   
Genital sex   
Given away to another Dom (temp)  
Given away to another Dom (perm)   
Golden showers   
Hairbrush spankings   
Hair pulling   
Hand jobs (giving)  
Hand jobs (receiving)   
Harems (serving w/other subs)   
Harnessing (leather)   
Harnessing (ropes)   
Having food chosen for you    
Having clothes chosen for you   
Head (giving fellatio)   
Head (receiving fellatio)  
High heel wearing   
High heel worship   
Homage with tongue (non-sexual)    
Hoods   
Hot oils (on genitals)   
Hot waxing   
Housework (doing)   
Human puppy dog   
Humiliation (private)   
Humiliation (public)   
Hypnotism   
Ice cubes   
Immobilization   
Including others   
Infantilism   
Initiation rites   
Injections   
Intricate (Japanese) rope bondage   
Interrogations   
Kidnapping   
Kneeling     
Knife play   
Leather clothing   
Leather restraints   
Lectures for misbehavior
Licking (non-sexual)   
Manacles & irons   
Manicures (giving)   
Massage (receiving)   
Medical scenes   
Modeling for erotic photos    
Mouth bits   
Mummification   
Name change (for scene)   
Name change (permanent)   
Nipple clamps    
Nipple weights    
Oral/anal play (rimming)    
Over-the-knee spanking  
Orgasm control    
Orgasm denial    
Outdoor scenes    
Outdoor sex    
Pain (severe)    
Pain (mild)   
Phone sex (serving Dom)    
Phone sex (serving Dom's friends)   
Phone sex (commercial provider)   
Piercing (temporary, play-pierce)  
Piercing (permanent)   
Plastic surgery   
Prison scenes   
Prostitution (public pretense)   
Prostitution (actual)   
Pony slave   
Public exposure   
Punishment scene   
Pussy/cock whipping   
Pussy worship   
Riding crops   
Riding the "horse" (crotch tort.)  
Rituals   
Religious scenes
Restrictive rules on behavior
Rubber/latex clothing
Rope body harness
Saran wrapping
Scarification
Scratching (getting)
Scratching (giving)
Sensory deprivation
Serving
Serving as art
Serving as ashtray
Serving as furniture
Serving as maid
Serving as toilet
Serving as waitress/waiter
Serving orally (sexually)
Serving other Doms (supervised)
Serving other Doms (unsupervised)
Sexual deprivation (short term)
Sexual deprivation (long term)
Shaving (body hair)   
Shaving (head hair)   
Sleep deprivation   
Sleep sacks
Sluttish clothing (private)   
Sluttish clothing (public)   
Spanking   
Spandex clothing   
Speech restrictions (when, what)   
Speculums (anal)   
Speculums (vaginal)   
Spitting   
Spreader bars   
Standing in corner   
Stocks   
Straight jackets   
Strap-on-dildos (sucking on)   
Strap-on-dildos (penetrated by)   
Strap-on-dildos (wearing)   
Strapping (full body beating)   
Suspension (upright)   
Suspension (inverted)   
Suspension (horizontal)
Supplying new partners for Dom    
Swallowing feces    
Swallowing semen    
Swallowing urine    
Swapping (with one other couple)    
Swinging (multiple couples)    
Tampon training (in ass)    
Tattooing    
Teasing    
TENS unit (electrical toy)    
Thumb cuffs    
Tickling    
Triple penetration    
Uniforms    
Vaginal dildo    
Verbal humiliation    
Vibrator on genitals    
Violet Wand (electrical toy)    
Voyeurism (watching others)    
Voyeurism (your Dom w/others)    
Voyeurism (hearing Dom w/others)   
Video (watching others)    
Video (recordings of you)    
Water torture    
Waxing (hair removal)    
Wearing symbolic jewelry    
Weight gain (forced)    
Weight loss (forced)    
Whipping    
Wooden paddles    
Wrestling
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