| General Information
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| Fields marked with an (*) asterisk
are mandatory |
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| Today's Date: |
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Your Name:(*) |
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Your Phone Number:(*) |
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Your E-mail Address:(*) |
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(please note: I cannot
reply via e-mail unless the address you give is correct) |
Your Age: |
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On which BDSM directory did you find out about me? |
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| About You |
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| How often do you get to participate
in BDSM activities? |
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| Please briefly describe up to three
of your favourite BDSM scenario's |
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| Do you consider yourself to be: |
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| Masochistic: |
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| Submissive: |
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| How important is sexual release
as part of the submissive experience for you? |
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| what do you think a
session is really about for you? |
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wish) |
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Wishing to suffer to please Mistress
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Expiating guilt |
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Going through a ritual rite of passage |
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Needing to be used for my Mistress pleasure
regardless of my own feelings |
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Fun & pleasure for both people |
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| My Mistress might be like: |
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Goddess - putting me as a slave through ordeals
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Slave owner - training & using me as
a slave in all ways |
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Boss - using position of power to dominate
&/or punish me |
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Headteacher - traditional spanking/cp scenario,
formal ritual and lectures with me feeling like a schoolboy
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Doctor/Nurse - position of power - intimate
body examinations |
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Aunt - very strict but caring a she punishes
and controls me |
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Queen - to be served and pampered, often
when cross dressing |
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Wife/Girlfriend - spouse/partner takes control
of me, but can also be teasing, playful and intimate |
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Governess - a severe figure, cp plus other
humiliations for me |
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Torturer - for masochists, she will get you
to beg for mercy! |
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Interrogator - like the torturer, she will
get the answers she requires |
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| What purpose has pain in a session?
What are you? |
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Pain is a reward |
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I am a pain slut |
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Pain is a punishment |
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Pain is a part of training and correction |
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Sensual & erotic pain sounds good |
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Pain can be applied whenever Mistress wishes |
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Pain is not what I'm seeking |
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| What are your feelings about bondage?
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I've not tried it |
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Tie up & tease is great fun |
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Light bondage is good
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I want to be comfortably restricted
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I love total helplessness |
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I love bondage & crave it utterly
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Lengthy bondage in isolation - sleep sacks,
straightjackets, cling film, rope/chain bondage |
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I want to be uncomfortably restricted |
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Bondage is not my favourite thing |
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Bondage is off limits |
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| ACTIVITIES |
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| The list below contains a selection
of activities which might be engaged in with a session. |
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| Corporal Punishment |
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Hand spanking |
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Hair brushes |
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Tawses |
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Leather straps |
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Canes/paddles |
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Floggers |
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Riding crops/whips |
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Any CP implements, I don't mind |
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Only sensuous gentle ones please!
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Hard CP please! |
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No CP at all please |
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| If our play were to include Corporal
Punishment, what would be the maximum degree of marking on normally
clothed areas such bottom, thighs and back? Be aware that I am able
to use certain techniques and implements to cause pain without leaving
marks, so you need not worry about marking if it is important not
to have any. |
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Anal Play
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Internal - plugs, dildo's, fingered by Mistress
(in her latex gloves), anal vibrators, anal electric plug |
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External - anal teasing and stroking |
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| Mistress Worship & Acts Devotion |
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Shoe & boot worship |
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Foot worship |
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Bottom worship (buttocks only) |
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Pussy worship |
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Breast worship |
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Body massage for Mistress |
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Washing & massaging Mistress feet |
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| Sensual Torment & Teasing |
| (tick as many as you wish) |
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Orgasm - Denial (that means no orgasm at
all during our meetings) |
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Nipple clamps |
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Nipple weights |
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Clothes pegs |
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Hot candle wax |
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Vibrator on genitals |
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Erotic tickling |
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Sexual teasing |
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Erotic teasing massage |
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Electrical play |
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Pin wheels |
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| Feminisation |
| (click as many as you wish) |
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Cross dressing as a discipline |
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Forced feminisation (for humiliation purposes) |
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Cross dressing for fun & sensual pleasure |
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Partial play - stockings, suspenders, bra
& panties |
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Full feminisation - shaving, wig, make-up,
clothing, talking and walking |
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| Sensory Deprivation & Bodily
Control |
| (tick as many as you wish) |
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Blindfolds |
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Full head hoods |
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Gas masks |
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Wearing gags |
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Cling-film wrapping |
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Breath play (not asphyxsiation) |
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| Submissive Attire & Activities |
| (tick as many as you wish) |
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Wearing collars |
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Wearing leather cuffs |
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Kneeling |
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Following orders |
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Leather harnessing |
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Housework |
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Restrictive rules |
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Slave training & etiquette |
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Lectures for misbehaviour |
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Maid training |
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Humiliation |
| (Tick as many as you wish) |
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'Forced' nudity |
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General humiliation (specify below) |
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Interrogations |
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Shaving/removing body hair |
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Swallowing semen - actually being made to
swallow it, not just fantasise about it! |
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Verbal humiliation |
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Forced masturbation |
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Hair pulling |
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| Medical Play |
| (Tick as many as you wish) |
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Shaving genitals |
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Urethral sounds |
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Pin wheels |
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Electrics |
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| Respectful Suggestions |
| Mention below any other activities
which you might like respectfully to suggest to Mistress Keene for
her consideration. |
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| Totally 'Off-Limits' |
| Very importantly, note clearly any
activities which are totally 'Off-limits' for you. Give explanations
if necessary. |
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