jquery slideshow by WOWSlider.com v8.7

Wizdomme Pages
D/s Help & Info
The "Newbie Pack"
Divider

Negotiation Questionnaire
by LadyScream
Click for ready-to-print PDF version

Part One: General Questions and Information

  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. C. What is your sexual orientation?
    1. Heterosexual exclusively
    2. Bisexual
    3. Homosexual
    4. BiCurious
  4. D. 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. Main interest
    1. Sensual and physical
    2. Psychosexual and mental
    3. Both equally
  6. Are you... (rate each from 1=lowest to 10=highest)
    ______ Sadistic
    ______ Masochistic
    ______ Dominant
    ______ Submissive
  7. 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
  8. H. 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
  9. 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
  10. 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
  11. Which settings are you comfortable playing in?
    1. Public play
    2. Scene parties
    3. Intimate groups of 1 to 3 other couples
    4. Three way play
    5. One on one
  12. Who can know of your activities?
    1. No one
    2. A very few trusted friends
    3. Other scene people
    4. Doesn't matter who knows

Part Two: Interests, Preferences, and Limits

Role Playing. Listed below are several examples of roles to be played by either Dom/me or sub. List those which you are interested in, and those you'd 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:
____________________________________________________________
____________________________________________________________
Roles I would like my partner to play:
____________________________________________________________
____________________________________________________________
List any specific fetishes you have (i.e. foot worship, body types):
____________________________________________________________
____________________________________________________________
List any medical, physical or emotional concerns (past breaks, sprains, chronic conditions or phobias):
____________________________________________________________
____________________________________________________________
List your limits here:
____________________________________________________________
____________________________________________________________
List your concerns about the depth and exclusivity of a relationship:
____________________________________________________________
____________________________________________________________
List your preferred method of birth control and avoidance of STD's:
____________________________________________________________
____________________________________________________________

Below are listed several D/s activities. Please rate each of these from 1 to 6:

  1. = YES!!!
  2. = Mmmm, I like this
  3. = Doesn't excite me, but I'd do it for my partner
  4. = Intriguing, but scary
  5. = Embarrassed to admit I want this
  6. = Absolutely not!!
1 ______ Spanking, by Hand 69 ______ Hot Wax
2 ______ Leather Paddle 70 ______ Fire and Ice
3 ______ Wooden Paddle 71 ______ Needles
4 ______ Belt or Strap 72 ______ Cutting
5 ______ Switch 73 ______ Abrasions
6 ______ Deerskin Cat o'nine 74 ______ Electric Torture
7 ______ Leather Cat o'nine 75 ______ Digital Sex
8 ______ Braided Cat o'nine 76 ______ Directed Masturbation
9 ______ Knotted Whip 77 ______ Vaginal Sex
10 ______ Rubber Whip 78 ______ Oral Sex
11 ______ Single Lash 79 ______ Vibrators/Dildoes
12 ______ Cane 80 ______ Strap-ons
13 ______ Fiberglass/Plastic Rod 81 ______ Anal Sex
14 ______ Riding Crop 82 ______ Anal Plugs
15 ______ Fur-lined Paddle 83 ______ Multiple Penetrations
16 ______ Mental Bondage 84 ______ Anilingus
17 ______ Silk Scarves 85 ______ Vaginal Fisting
18 ______ Nylon Rope 86 ______ Anal Fisting
19 ______ Cotton Rope 87 ______ Fantasy Rape
20 ______ Chains 88 ______ Directed Bisexuality
21 ______ Leather Bonds 89 ______ Threesomes
22 ______ Spandex Bonds 90 ______ Groups
23 ______ Plastic Wrap 91 ______ Foot Kissing
24 ______ Body Bags 92 ______ Kneeling
25 ______ Steel Shackles 93 ______ Crawling
26 ______ Arm Sleeves 94 ______ Lead on Leash
27 ______ Straightjackets 95 ______ Dirty Words
28 ______ Breast Bondage 96 ______ Verbal Abuse
29 ______ Genital Bondage 97 ______ Public Embarrassment
30 ______ Gags 98 ______ Face Slapping
31 ______ Leather Cuffs 99 ______ Cross Dressing
32 ______ Infibulation 100 ______ Secret Sex in Public
33 ______ Spreader Bars 101 ______ Public Display
34 ______ Ceiling/Wall Hooks 102 ______ Public Sex
35 ______ Cages 103 ______ Public Whipping
36 ______ Slings/Swings 104 ______ Infantilism
37 ______ Stocks 105 ______ Golden Showers
38 ______ Crosses 106 ______ Enemas
39 ______ Pillory 107 ______ Innocent Dress
40 ______ Suspention, on Toes 108 ______ Slutty Dress
41 ______ Suspension, Full 109 ______ Prim and Proper
42 ______ Outdoor Setting 110 ______ Ultra-Feminine
43 ______ Indoor Setting 111 ______ French Maid
44 ______ Public Setting 112 ______ Child/Baby Roles
45 ______ Semi-Public Setting 113 ______ Slave
46 ______ Private Setting 114 ______ Macho
47 ______ 1 to 3 Hours 115 ______ Biker
48 ______ 3 to 6 Hours 116 ______ Leathers
49 ______ Overnight Duration 117 ______ Spandex
50 ______ Blindfolds 118 ______ Rubber/Latex
51 ______ Hoods 119 ______ Masks/Hoods
52 ______ Headphones/Earplugs 120 ______ Costumes
53 ______ Tickling 121 ______ Lingerie
54 ______ Feathers/Fur 122 ______ Garters/Stockings
55 ______ Sexual Teasing 124 ______ Corsets/Cinches
56 ______ Sexual Denial 124 ______ Boots
57 ______ Chastity Belt 125 ______ High Heels
58 ______ Pinching 126 ______ Tattooing
59 ______ Hair Pulling 127 ______ Body Piercing
60 ______ Nipple Clamps/Clips 128 ______ Branding
61 ______ Clothespins 129 ______ Maid Service
62 ______ Genital Torture 130 ______ Shaving
63 ______ Weights 131 ______ Humiliation
64 ______ Cock Rings 132 ______ Foot Worship
65 ______ Ball Spreaders 133 ______ Exhibitionish
66 ______ Water Torture 134 ______ Voyeurism
67 ______ Ice 135 ______ Voyeurism
68 ______ Oils, Lotions, Spices
  

Listed below are 6 parts of the body and 3 categories. Using the following letter codes, rate each as what is acceptable to you:

N = Never L = Light ? = Not Sure
T = Thuddy   M = Medium
S = Stingy   H = Heavy
Body Part Bondage Corporal Torture
Back/Shoulders ______ ______ ______
Bottom/Thighs ______ ______ ______
Breasts/Chest ______ ______ ______
Genitals ______ ______ ______
Feet/Ankles ______ ______ ______
Wrists ______ ______ ______

These files are presented for general information only and are not meant to be a "how-to" guide.
As with anything, what works for someone else may or may not work for you.
Use common sense when exploring new relationships of any type.