1. What is your level of experience?
  1. Very experienced
  2. Experienced
  3. Limited experience
  4. Beginner
2. How Long Have You Had Or Known Of Your Interests?
  1. As long as I can remember
  2. 5 years or more
  3. 1 to 4 years
  4. Less than 1 year
3. What Is Your Sexual Orientation?
  1. Heterosexual exclusively
  2. Bisexual
  3. Homosexual
  4. BiCurious
4. What Kind Of Relationship Do You Prefer?
  1. Long term, live in
  2. Offline, meeting often
  3. Offline, meeting occasionally
  4. Online only
  5. Not sure yet
5. Your Main Interest?
  1. Sensual and physical
  2. Psychosexual and mental
  3. Both equally
5. Are you...? (Rate Each From 1=Lowest To 10=Highest)

Sadistic
Masochistic
Dominant
Submissive


6. Your Level Of Interest In Bondage?
  1. Total helplessness
  2. Light bondage
  3. Not my favorite thing
  4. Outside my limits
  5. Never tried it
7. Pain (What You Are, Or What You're Looking For)
  1. Pain slut
  2. Whipping, caning, paddling
  3. Light paddling, sensual whipping, no marks
  4. Punishment only when necessary
  5. Interested, but never tried it
  6. WAY beyond limits
8. What Do You Believe The Purpose Of Pain In A Session Is?
  1. Pain is a reward
  2. Pain is a punishment
  3. For training or correction only
  4. Whatever pleases my partner
  5. Not sure
9. Sex In A Scene, For Me Is...
  1. An absolute must
  2. Expected, unless punishment is taking place
  3. An enhancement
  4. Not necessary or expected
  5. Out of the question
10. Which Settings Are You Comfortable Being Involved In?
  1. Public play
  2. Scene parties
  3. Intimate groups of 1 to 3 other couples
  4. Three way play
  5. One on one
11. Who Do You Allow To Know Of Your LifeStytle?
  1. No one
  2. A very few trusted friends
  3. Other scene people
  4. Doesn't matter who knows


Interests, Preferences, and Limits:
  • Listed Below Are Examples Of Roles To Be Played By Either A Dominant Or submissive.
  • List Those Which You Have Interest In Or Those You Would Like To See Your Partner Play.




    • Amazon
    		Baby
    		Barbarian
    		Bitch-Goddess
    Boss
    		Burglar
    		Child
    		Clergy
    Cowboy
    		Cowgirl
    		Daddy
    		Doctor
    Evil Priest
    		Evil Priestess
    		Femme Fatale
    		French Maid
    God
    		Goddess
    		Hooker
    		Indian
    Inquisitor
    		Interrogator
    		Hero
    		Kidnap Victim
    Knight
    		Leather Man
    		Master
    		Mentor
    Mistress
    		Mommy
    		Nun
    		Nurse
    Rapist
    		Role Reversal
    		Pet
    		Pimp
    Pirate
    		Policeman
    		Ponyboy
    		Ponygirl
    POW
    		Prince
    		Princess
    		Principal
    Puppy
    		Savage
    		Secretary
    		Sex Object
    Sissy
    		Slave
    		Slave Owner
    		Slut
    Student
    		Suspect
    		Teacher
    		Teen
    Torturer
    		Victim
    		Warrior
    		Wild Beast
     
    Roles I Would Like To Play:
    ____________________________________________________________

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    Roles I Would Like My Partner To Play:
    ____________________________________________________________

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    List Any Specific Fetishes You Have (i.e. foot worship):
    ____________________________________________________________

    ____________________________________________________________
    List Any Medical, Physical Or Emotional Concerns (Chronic Conditions Or Phobias):
    ____________________________________________________________

    ____________________________________________________________
    List Your Limits:
    ____________________________________________________________

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