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General Information
Fields marked with an (*) asterisk are mandatory
 
Today's Date:

Your Name:(*)

Your Phone Number:(*)

Your E-mail Address:(*)
(please note: I cannot reply via e-mail unless the address you give is correct)

Your Age:
 

On which BDSM directory did you find out about me?
 
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About You  
   
How often do you get to participate in BDSM activities?
 
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Please briefly describe up to three of your favourite BDSM scenarios
 
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Do you consider yourself to be:  
Masochistic:

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?
(tick as many as you wish)
 
Wishing to suffer to please Mistress
Expiating guilt
Going through a ritual rite of passage
Needing to be used for my Mistress pleasure regardless of my own feelings
Fun & pleasure for both people
 
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My Mistress might be like:
(tick as many as you wish)
 
Trainer - using rules, discipline, punishment and reward to develop me as her submissive
Goddess - putting me through ordeals for her dominant pleasure, just because she can
Boss - using position of power to dominate and/or punish me
Doctor - a woman in authority conducting intimate, perhaps humiliating, bodily examinations
Queen - Demanding and exacting, requiring pampering and complete obedience
Wife/Girlfriend - more domestically controlling and dominant but also often teasing and playful

Torturer - making me beg for mercy

Interrogator - using her mental and physical skills to get the answers she wants
   
 
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What purpose does pain serve in a session?
(tick as many as you wish)  
   
None - pain is not what I seek
Sensual and erotic pain is exciting
Pain can be a suitable punishment for wrong-doing
Pain is a necessary element in a training and discipline regime
Pain can be applied whenever Mistress wishes
Pain can be a reward for me if Mistress is enjoying hurting me
Pain is a big turn on, I am a pain slut
   
 
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What are your feelings about bondage and restraint?
(tick as many as you wish)
 
Bondage and restraint in any form is off-limits
Bondage and restraint is scary but exciting
I've not tried any bondage yet
Tie up and tease is a big turn on
I like bondage and restraint as it makes me feel submissive and controlled
Bondage and restraint are all part of the submissive training process
I enjoy light and comfortable restraint
I enjoy some discomfort in restraint
Bondage and restraint are important and satisfying elements in a session
I seek heavy bondage (sleep sacks, straight jackets, cling film, extensive rope and chain work)
I like prolonged periods of restraint
   
 
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ACTIVITIES  
The list below contains a selection of activities which might be engaged in with a session.
   
CP and impact play  
   
No CP/impact play at all please
Gentle and sensuous CP/impact play
Spanking by hand
Leather straps and tawses
Canes
Paddles
Floggers
Riding crops
Whips
Any CP implements, I don't mind
Hard CP/impact play please
CP in a sub/Domme context
Impact play for painful fun - little or no emphasis on sub/Domme relationship
   
 
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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 as 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
 
(Tick as many as you wish)  
   
Internal - plugs, dildoes, fingered by Mistress (in her latex gloves), anal vibrators, anal electric plug
External - anal teasing and stroking
   
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Mistress Worship & Pleasure
(Tick as many as you wish)  
   
Foot worship to show submission and humility
Washing & massaging Mistress feet for her pleasure
Body massage for Mistress to relax her
Other body worship - when and only if Mistress wishes
 
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Sensual Torment & Sexual Teasing
(tick as many as you wish)  
   
Nipple clamps
Nipple weights
Cock and Ball torture
Sexual teasing
Orgasm Denial (that means no orgasm at all during our meetings)
Vibrator on genitals
Pegs and clamps on genitals
Vibrator on genitals
Cock and ball bondage
Cock and ball weights
Erotic tickling
Violet wand
Electrical play
Pin wheels
 
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Sensory Deprivation & Bodily Control
(tick as many as you wish)
 
Blindfolds
Full head hoods
Gas masks
Wearing gags
Cling-film wrapping
Breath play (not asphyxiation)
 
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Submissive Attire & Activities
(tick as many as you wish)
 
Wearing collar/chain for Mistress
Wearing ankle and wrist cuffs
Kneeling
Following orders / restrictive rules
Wearing leather body harness
Performing chores and tasks (in and out of session)
Chastity training
Submissive training & etiquette
Lectures for misbehaviour
Discipline and maintenance training
Punishments for misbehaviour/poor performance
Positional and posture training
 
 
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Humiliation

(Tick as many as you wish)
 
Enforced nudity
Interrogations/Questioning
Shaving/removing body hair
Swallowing semen (yes, really, not just fantasise about it)
Verbal humiliation and putting in place
Chastity training
Forced masturbation for the amusement of Mistress
Hair pulling
Face slapping (more for humiliation than pain)
Put into female underwear for the pleasure of Mistress
Anal Training
Dildo sucking
Crawling/begging
General humiliation (specify below)
 
 
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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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