This form allows you (the submissive/slave/bottom to list what experience you have had, rate your willingness of each bdsm activity and note any nuances or comments you wish to make. Simply print it out and then fill it out for your Dom/Master/Top.

This checklist is be filled out by a submissive/slave/bottom and provided to their Dom/Master/Top before playing with them. This will provide a starting place to identify limits, negotiate consensual play and find common ground for play. Dominants may wish to work through the checklist, to get a better handle on their specific interests. Switches should go through the checklist twice; one persons Dom and Sub interests may be very different.

 

For each item, you need to provide two answers:

Experience

Have you had real time experience with the activity?
Indicate YES or NO next to each item. Write N/A if it does not apply to your gender.

Willingness

Are you willing/open to try an activity?

For each item, indicate the degree to which you are willing to try that particular activity by rating it on a scale of NO or 0-5 (see rating scale below).

If you write “NO”, it means you will not do that item under any circumstance (a hard limit). There is nothing wrong with indicating “no” on an item. However, if you write “NO” next to almost every item, you should probably find another interest to pursue.

If you do not understand what an activity is, mark that item with a “?”.

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

Rating Scale

0 – Utterly no desire to do that activity and don’t like doing it (in fact, may loath it) and ordinarily would object to doing it, but you would permit the Dominant to do it if they really wanted it (sometimes called a soft limit)

1 – Don’t want to do or like to do this activity, but wouldn’t object it if was asked of you

2 – Willing to do this activity, but it has no special appeal for you

3 – Usually like doing this activity, at least on an irregular/occasional basis

4 – You like doing this activity and would like to experience it on a regular basis

5 – Is a wild turn-on for you and you would like it as often as possible

Note any additional information or nuances which might be important for your Dom/Master/Top to know in the comments section.

There is intentionally some overlap between categories. Unless otherwise stated, the submissive/slave/bottom is the recipient/target of the activity.

 Activity  Experience
Respond YES/NO
 Rating
Willingness according
to scale described above
 ************Comments************
 Abrasion
 Age Play
 Anal Sex
 Anal Plugs (small)
 Anal Plugs (large)
 Anal Plug (public under clothes)
 Anal Training
 Animal Roles
 Arm & leg sleeves (armbinders)
 Aromas
 Asphyxiation
 Auctioned for charity
 Ball Stretching
Bastinado
 Bathroom use control
 Bestiality
 Beating (soft)
 Beating (hard)
 Blindfolding
 Being Serviced (sexual)
 Being bitten
 Breast/chest bondage
 Breath control
 Branding
 Boot Worship
 Bondage (light)
 Bondage (heavy)
 Bondage (multi-day)
 Bondage (public under clothing)
 Breast whipping
 Brown showers (scat)
 Cages (locked inside)
 Caning
 Castration fantasy
 Cauterization
 Cattle prod (electrical toy)
 Cells/Closets (locked inside of)
 Chains
 Chamber pot use
 Chastity belts
 Chauffeuring
 Choking
 Chores (domestic service)
 Clothespins
 Cock rings/straps
 Cock worship
 Collars (worn in private)
 Collars (worn in public)
 Competitions (with other subs)
 Corsets (wearing casually)
 Corsets (trained waist reduction)
 Cuffs (leather)
 Cuffs (metal)
 Cutting
 Diapers (wearing)
 Diapers (wetting)
 Diapers (soiling)
 Dilation
 Dildos
 Double Penetration
 Electricity
 Enemas (for cleansing)
 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 (being scared)
 Fisting (anal)
 Fisting (vaginal)
 Flame play
 Following orders
 Foot worship
 Forced bedwetting
 Forced cross dressing
 Forced eating
 Forced homosexuality
 Forced heterosexuality
 Forced masturbation
 Forced nudity (private)
 Forced nudity (around others)
 Forced Servitude
 Forced smoking
 Full head hoods
 Gags (cloth)
 Gags (inflatable)
 Gags (phallic)
 Gags (rubber)
 Gags (tape)
 Gas masks
 Gates of Hell (male)
 Genital sex
 Given away to another Dom (temp)
 Given away to another Dom (perm)
 Golden Showers (on body)
 Golden Showers (on hair)
 Golden Showers (oral)
 Golden Showers (in vagina)
 Golden Showers anal)
 Gun play
 Hair brush spankings
 Hair pulling
 Hand Jobs (giving)
 Hand Jobs (receiving)
 Harems (serving with other subs)
 Harnessing (leather)
 Harnessing (rope)
 Having food chosen for you
 Having clothing chosen for you
 Head (give fellatio/cunnilingus)
 Head (rcv fellatio/cunnilingus)
 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
 Ice Cubes (in vagina)
 Ice Cubes (in asshole)
 Immobilization
 Including others
 Infantilism
 Initiation rites
 Injections
 Intricate (Japanese) rope bondage
 Interrogations
 Kidnapping
 Kneeling
 Knife play
 Latex Clothing
 Leather Clothing
 Leather Paddles
 Leather restraints
 Lectures for misbehavior
 Licking (non-sexual)
 Lingerie (wearing)
 Manacles and Irons
 Manicures (giving)
 Massage (giving)
 Massage (receiving)
 Medal Paddles
 Medical scenes
 Modeling for erotic photos
 Mouth bits
 Mummification
 Name change (for scene)
 Nipple clamps
 Nipple rings (piercing)
 Nipple weights
 Oral/anal play (rimming)
 Over the knee spanking
 Orgasm denial
 Orgasm control
 Outdoor scenes
 Pain (severe)
 Pain (mild)
 Persona training (in scene)
 Personal modification (real)
 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
 Role play (Incest))
 Role play (Medical)
 Role Play (Office)
 Role Play (Switch)
 Role Play (Vampire)
 Rope body harness
 Rubber/latex clothing
 Saran wrap
 Scarification
 Scratching – getting
 Scratching – giving
 Sensory deprivation
 Serving
 Serving as art
 Serving as ashtray
 Serving as furniture
 Serving as a maid
 Serving as a toilet (urine)
 Serving as a toilet (feces)
 Serving as waitress/waiter
 Serving orally (sexual)
 Serving other Doms (supervised)
 Serving other Doms (unsupervised)
 Sexual deprivation (short term)
 Sexual deprivation (long term)
 Shaving (body hair)
 Shaving (head hair)
 Having (head hair)
 Single Tails
 Skinny dipping
 Sleep deprivation
 Sleep sacks
 Slutty clothing (private)
 Slutty clothing (public)
 Spandex clothing
 Spanking
 Speech restrictions (when/what)
 Speculum (anal)
 Speculum (vaginal)
 Spitting
 Spitting in mouth
 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)
 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)
 TENS unit (internal electrical toy )
 Thumb cuffs (metal)
 Tickling
 Triple Penetration
 Urethral Sounds (metal rods)
 Uniforms
 Vaginal dildo
 Verbal humiliation
 Vibrator on genitals
 Violet wand (electrical toy)
 Voyeurism (watching others)
 Voyeurism (your Dom w/others)
 Video (watching others)
 Video (recordings of you)
 Water torture
 Waxing (hair removal)
 Wax Play
 Wearing symbolic jewelry
 Weight gain (forced)
 Weight loss (forced)
 Whipping
 Wooden paddles
 Wrestling
 Zipper