To the Dom:

Please copy and paste this to a new document or email and then fill in Your reply.

BASIC INFORMATION:

Screen Name:

Other Screen Names (optional):

Real Name (optional):

Age (can be a range, i.e. "30's"):

Real World Location (can be a region or area):

Physical Description (all optional):

Height:

Weight:

Eye Color:

Hair Color:

Facial Hair:

Characteristics (things you'd like known about you, physically):

Occupation (optional):

Non-D/s Interests/Hobbies:

Favorite Music Types:

Favorite Reading:

Favorite Non-D/s Leisure Time Activities:

Marital/Relationship Status (required):

D/s INFORMATION:

Which statement best suits you:

I live D/s lifestyle every day in most activities:
I live D/s lifestyle frequently when in relationship:
I live D/s lifestyle occasionally in relationship:
I live D/s lifestyle in "scenes" or "play" only:
I use D/s only in "scenes" or "play":
I do not live D/s lifestyle but would with correct sub:
I would not live D/s lifestyle but would use for "play" with correct sub:
(Other statement which best suits you):

Are you interested in:

On-Line Relationship ONLY:
On-Line/Phone Relationship ONLY:
Real Time Relationship ONLY:
On-Line/Phone/Real Time Relationship Combination:

Do you currently have a sub/slave:

Are you currently seeking a sub/slave:

Will you "mentor" a sub/slave:

Would you take on "multiple subs":

Can or would you travel to meet/be with a sub:

Would you have a sub travel to meet you:

Are you experienced with:

On-Line D/s:
Phone D/s:
Real Time D/s:

Previous Relationships:

Have you ever had a "collared" sub:

On-Line Only:
Real Time:

(Why did that relationship terminate, current relationship with that sub)

D/s SOCIAL:

Would you expect a sub to perform the following and if so, how often:

(Rating scale: "O" (occasionally). "F" (frequently). "A" (at all times when applicable).

Kneeling (clothed):
Kneeling (naked):
Wearing bondage outside "scenes" (crotch ropes, etc.):
Wearing toys outside "scenes" (nipple clamps, etc.):
Wearing toys/bondage in public:
"Correct posture" outside "scenes" (define):
Sexual situations in public:
Wearing D/s collar in public:
Wearing D/s collar in private:
Performing "instructions" (delivered on-line or phone):
Would you require a standard form of dress for the sub in private (if so, what):
Would you require a standard form of dress for the sub in public (if so, what):

What form of address would you expect from the sub for yourself and others (check applicable):

Yourself:

Sir:
Master:
First name:
Mr. (last name):

Other males (non-Dom):

Sir:
First name:
Mr. (last name):

Other males (Dom):

Sir:
First name:
Mr. (last name):

Non-D/s females:

Ma'am:
Miss:
Madam:
First name:
Ms. (last name):

What aspects of your subs' life would you want to control (check all applicable):

Choice of clothing:
Choice of food:
Daily activities:
Special occasion activities (non-sexual):
Sexual activities:
Social contacts:
Sleeping hours:
Bathing/toilet rituals:
Business/professional life:


D/s "SCENES":

Check all areas of Interest to you as a Dom (experienced or not), REAL TIME ONLY. IF EXPERIENCED, rate your experience. If you would expect an area to occur frequently or wish to experiment with an area, state "YES":

(Rating scale: 1 - tried it once. 2 - tried a few times. 3 - basic knowledge and experience. 4. - proficient/advanced. 5. - use in most or all "scenes")

ACTIVITY: Of Interest: Experience: Expected:

Bondage (light):
Bondage (heavy):
Intricate Rope Bondage:
Handcuffing:
"Mummification":
Strap Bondage:
Chains:
Restraints (leather or other):
Gags:
Blindfolds:
Suspension:
Inverted Suspension:
Breast Clamping:
Labia Clamping:
Spanking:
Cropping:
Flogging:
Whipping:
Heat (wax or other):
Cold (ice or other):
Mild Pain:
Intense Pain:
Toys (vaginally inserted}:
Toys {anally inserted}:
Toys (external}:
Witholding Orgasms:
Inducing Multiple Orgasms:
Humiliation {private}:
Humiliation {public}:
Drawing Blood:
Water Sports {golden showers}:
Multiple Partners {male}:
Multiple Partners {female}:
Public Play {private parties}:
Public Play {Dungeons}:
Oral Service of you:
Oral Service of the sub:
Cock Worship:
Anal Worship:
Using sub as Furniture:
Rituals performed by Sub:
Breast Bondage:
Cuffs: Leather:
Cuffs: Rope:
Needle/Pin Play:

Would you desire to "share" your sub with others: YES or NO
(If "YES", state the circumstances and likely other partners)

Would you wish your sub to have any of the following (check applicable):

Tattoo of ownership:
Branding of ownership:
Collar (or bracelet) worn constantly:
Screen name change to reflect ownership:

List any "scene" or "play" activities which you WOULD NOT DO under any circumstances:


PUNISHMENTS:

What forms of punishments would you use on a disobedient sub:

Writing assignments:
Meditation:
Corporal Punishment (spanking, whipping, etc.):
Bondage (any form):
Removal of privilages:
Loss of Contact with you:
Withholding orgasms/pleasure:
Other (please state):

REWARDS:

What forms of rewards would you give a pleasing sub:

Small "presents" (flowers, etc.):
Extra privilages:
Additional "play":
Personal momentos (inc. letters to her, etc.):

Any other information you would like to supply regarding yourself: