Here is a questionnaire for the submissives to fill out and send to the Dom you're interested in. Don't go sending this to just anyone....keep your business to yourself! But for that special Dominant with whom you are considering pursuing relationship, this will help him to understand your likes, dislikes, wants and desires.
You can also use this as a personal aide, to look at and define yourself...your wants and needs in a relationship. Six months from now, you can come back to it and see how much you have changed and grown.
Make sure that when you send this questionnaire to a prospective Dom(me) that they also fill one out...and do not send it until you receive Theirs! Upon receipt of their questionnaire, send yours immediately.
Copy and paste this to a new document or email, then fill in your responses.
BASIC INFORMATION:
Screen Name:
Other Screen Names (optional):
Location, city/state (area ok):
Age (range 30's ok):
Status (married? exc...):
Sexual preferance (straight/bi) :
Physical Description (OR, Attach pic is OK):
Height:
Weight:
Eye Color:
Hair Color:
Size:
Charactistics (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:
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 Dom:
I would not live D/s lifestyle but would use for "play" with correct Dom:
(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 Dom:
Are you currently seeking a Dom:
Would you serve with other subs:
Can or would you travel to meet/be with a Dom:
Would you have a Dom travel to meet you:
Are you experienced with:
On-Line D/s:
Phone D/s:
Real Time D/s:
Previous Relationships:
Have you ever been a "collared" sub:
On-Line Only:
Real Time:
Favorite position:
Wildest fantasy:
Willingness quick-key: Or answer clearly please..
? Don't understand this item.
* I will do with current sex partner only.
WND Will Not Do ( hard limit)
yes- you have done it
0 No desire, don't like, may permit if special to Dom
no- you have not done it
1 don't want to do but will
n/a not to gender or not applicable
2 willing to do, but has no special appeal
3 usually like doing, on an irregular/occasional basis
4 like doing, on a regular basis
5 WILD TURN ON, do as often as possible
ALL are by/with Dom, in private, unless noted otherwise.
Anal sex:
Anal plugs (small) :
Anal plugs (med) :
Animal roles (pets):
Arm & leg sleeves (armbinders) :
Aromas (smell/scented candle):
Auctioned for charity:
Beating (soft) :
Beating (hard) :
Blindfolds :
Being serviced (sexually) :
Being shared (Dom and another):
Breast/chest bondage:
Boot worship :
Bondage (light) :
Bondage (heavy) :
Breast flogging:
Candles (lighting/dripping):
Caning :
Chains :
Chastity belts:
Chauffeuring :
Chores (domestic service) :
Clothespins :
Cock worship :
Collars (worn in private) :
Collars (worn in public) :
Competitions (with other Subs, for Dom's attn) :
Corsets (wearing casually) :
Cuffs (leather) :
Cuffs (metal) :
Diapers (wearing) :
Dildoes :
Double penetration (Dom& toy) :
Double penetration (Dom& other) :
Enemas (for varied fun) :
Enforced chastity :
Erotic dance (for audience) :
Exhibitionism (friends) :
Exhibitionism (strangers):
Eye contact restrictions :
Fantasy kidnap/rape :
Fear (being scared):
Fisting (vaginal) :
Fisting (Anal) :
Following orders :
Foot worship:
"Forced" homosexuality (other sub/female) :
"Forced" heterosexuality (other male) :
"Forced" servitude :
Full head hoods:
Gags (cloth) :
Gags (other) :
Genital sex :
Given away to another Dom (temp) :
Given away to another Dom (perm) :
Hairbrush spankings :
Hair pulling:
Hand jobs (giving) :
Harnessing (leather) :
Harnessing (rope) :
Head (give fellatio/cunnilingus):
Head (rcv fellatio/cunnilingus):
High heel wearing :
Hoods :
Hot oils (on genitals) :
Hot/warm waxing :
Hot tubs (play in) :
Human puppy dog :
Humiliation (pvt/public) :
Ice cubes :
Including others :
Immobilization (tied up/down) :
Intricate (Japanese) rope bondage:
Kneeling :
Leather clothing :
Leather restraints :
Licking (sexual) :
Lingerie (wearing) :
Manacles & Irons :
Manicures (giving) :
Massage (giving) :
Massage (receiving) :
Masturbation (for Dom) :
Masturbation (for others) :
Medical scenes (nurse/patient/doctor):
Modeling for erotic photo:
Mouth bits :
Nipple clamps :
Nipple rings (piercing) :
Nipple play/"torture" :
Nipple weights :
Nudity (private):
Nudity (around others) :
Oral/anal play (rimming) :
Over-the-knee spanking:
Orgasm denial:
Orgasm control:
Outdoor scenes:
Outdoor sex :
Pain (mild/light) :
Pain (severe):
Personality training (in scene) :
Phone sex (serving Dom) :
Phone sex (serving others) :
Piercing (temporary, play-pierce):
Prison scenes :
Pony slave :
Public exposure :
Punishment Scene :
Pussy/cock whipping :
Pussy worship :
Riding crops :
Rituals:
Restrictive rules on behavior :
Rubber/latex clothing :
Rope body harness :
Sensory deprivation :
Serving as art :
Serving as furniture :
Serving as a maid/waitress :
Serving other Doms (supervised) :
Serving other Dom's (unsupervised):
Servicing Dom (anal):
Servicing Dom (oral):
Servicing Dom (intercourse):
Sexual deprivation (short term):
Sharing Dom with another sub:
Shaving (body hair) :
Skinny-dipping :
Sleepsacks :
Slutty clothing (private) :
Slutty clothing (public) :
Spandex clothing :
Spanking :
Speech restrictions (when, what) :
Standing in corner :
Stocks :
Straight jackets :
Strap-on-or other dildos (sucking on) :
Strap-on-or other dildos (penetrated by) :
Strap-on-dildos (wearing) :
Suspension (upright) :
Suspension (inverted) :
Suspension (horizontal) :
Supplying new partners for Dom :
Swallowing semen :
Swapping (with one other couple):
Swinging (multiple couples) :
Teasing (being) :
Training a new sub (help Mentor):
Thumbcuffs (metal) :
Tickling (being):
Triple penetration (Dom/toys/others) :
Uniforms :
Vaginal dildo :
Verbal humiliation:
Vibrator on genitals :
Vibrator in genitals :
Vibrator anal :
Violet Wand (electrical toy) :
Voyeurism (watching others) :
Voyeurism (your Dom w/others) :
Video (watching others) :
Video (recordings of you):
Water sports (shower/tub/waterfalls/etc..play):
Water sports (golden/other):
Wearing symbolic jewelry :
Whipped cream:
Whipping :
Wooden paddles :
Wrestling :
What forms of rewards would you like to get as a sub:
Small "presents" (flowers, etc.):
Extra privilages:
Additional "play":
Personal momentos (inc. letters from Dom, etc.):
Massages:
Bubblebaths:
Screen Name:
Other Screen Names (optional):
Location, city/state (area ok):
Age (range 30's ok):
Status (married? exc...):
Sexual preferance (straight/bi) :
Physical Description (OR, Attach pic is OK):
Height:
Weight:
Eye Color:
Hair Color:
Size:
Charactistics (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:
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 Dom:
I would not live D/s lifestyle but would use for "play" with correct Dom:
(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 Dom:
Are you currently seeking a Dom:
Would you serve with other subs:
Can or would you travel to meet/be with a Dom:
Would you have a Dom travel to meet you:
Are you experienced with:
On-Line D/s:
Phone D/s:
Real Time D/s:
Previous Relationships:
Have you ever been a "collared" sub:
On-Line Only:
Real Time:
Favorite position:
Wildest fantasy:
Willingness quick-key: Or answer clearly please..
? Don't understand this item.
* I will do with current sex partner only.
WND Will Not Do ( hard limit)
yes- you have done it
0 No desire, don't like, may permit if special to Dom
no- you have not done it
1 don't want to do but will
n/a not to gender or not applicable
2 willing to do, but has no special appeal
3 usually like doing, on an irregular/occasional basis
4 like doing, on a regular basis
5 WILD TURN ON, do as often as possible
ALL are by/with Dom, in private, unless noted otherwise.
Anal sex:
Anal plugs (small) :
Anal plugs (med) :
Animal roles (pets):
Arm & leg sleeves (armbinders) :
Aromas (smell/scented candle):
Auctioned for charity:
Beating (soft) :
Beating (hard) :
Blindfolds :
Being serviced (sexually) :
Being shared (Dom and another):
Breast/chest bondage:
Boot worship :
Bondage (light) :
Bondage (heavy) :
Breast flogging:
Candles (lighting/dripping):
Caning :
Chains :
Chastity belts:
Chauffeuring :
Chores (domestic service) :
Clothespins :
Cock worship :
Collars (worn in private) :
Collars (worn in public) :
Competitions (with other Subs, for Dom's attn) :
Corsets (wearing casually) :
Cuffs (leather) :
Cuffs (metal) :
Diapers (wearing) :
Dildoes :
Double penetration (Dom& toy) :
Double penetration (Dom& other) :
Enemas (for varied fun) :
Enforced chastity :
Erotic dance (for audience) :
Exhibitionism (friends) :
Exhibitionism (strangers):
Eye contact restrictions :
Fantasy kidnap/rape :
Fear (being scared):
Fisting (vaginal) :
Fisting (Anal) :
Following orders :
Foot worship:
"Forced" homosexuality (other sub/female) :
"Forced" heterosexuality (other male) :
"Forced" servitude :
Full head hoods:
Gags (cloth) :
Gags (other) :
Genital sex :
Given away to another Dom (temp) :
Given away to another Dom (perm) :
Hairbrush spankings :
Hair pulling:
Hand jobs (giving) :
Harnessing (leather) :
Harnessing (rope) :
Head (give fellatio/cunnilingus):
Head (rcv fellatio/cunnilingus):
High heel wearing :
Hoods :
Hot oils (on genitals) :
Hot/warm waxing :
Hot tubs (play in) :
Human puppy dog :
Humiliation (pvt/public) :
Ice cubes :
Including others :
Immobilization (tied up/down) :
Intricate (Japanese) rope bondage:
Kneeling :
Leather clothing :
Leather restraints :
Licking (sexual) :
Lingerie (wearing) :
Manacles & Irons :
Manicures (giving) :
Massage (giving) :
Massage (receiving) :
Masturbation (for Dom) :
Masturbation (for others) :
Medical scenes (nurse/patient/doctor):
Modeling for erotic photo:
Mouth bits :
Nipple clamps :
Nipple rings (piercing) :
Nipple play/"torture" :
Nipple weights :
Nudity (private):
Nudity (around others) :
Oral/anal play (rimming) :
Over-the-knee spanking:
Orgasm denial:
Orgasm control:
Outdoor scenes:
Outdoor sex :
Pain (mild/light) :
Pain (severe):
Personality training (in scene) :
Phone sex (serving Dom) :
Phone sex (serving others) :
Piercing (temporary, play-pierce):
Prison scenes :
Pony slave :
Public exposure :
Punishment Scene :
Pussy/cock whipping :
Pussy worship :
Riding crops :
Rituals:
Restrictive rules on behavior :
Rubber/latex clothing :
Rope body harness :
Sensory deprivation :
Serving as art :
Serving as furniture :
Serving as a maid/waitress :
Serving other Doms (supervised) :
Serving other Dom's (unsupervised):
Servicing Dom (anal):
Servicing Dom (oral):
Servicing Dom (intercourse):
Sexual deprivation (short term):
Sharing Dom with another sub:
Shaving (body hair) :
Skinny-dipping :
Sleepsacks :
Slutty clothing (private) :
Slutty clothing (public) :
Spandex clothing :
Spanking :
Speech restrictions (when, what) :
Standing in corner :
Stocks :
Straight jackets :
Strap-on-or other dildos (sucking on) :
Strap-on-or other dildos (penetrated by) :
Strap-on-dildos (wearing) :
Suspension (upright) :
Suspension (inverted) :
Suspension (horizontal) :
Supplying new partners for Dom :
Swallowing semen :
Swapping (with one other couple):
Swinging (multiple couples) :
Teasing (being) :
Training a new sub (help Mentor):
Thumbcuffs (metal) :
Tickling (being):
Triple penetration (Dom/toys/others) :
Uniforms :
Vaginal dildo :
Verbal humiliation:
Vibrator on genitals :
Vibrator in genitals :
Vibrator anal :
Violet Wand (electrical toy) :
Voyeurism (watching others) :
Voyeurism (your Dom w/others) :
Video (watching others) :
Video (recordings of you):
Water sports (shower/tub/waterfalls/etc..play):
Water sports (golden/other):
Wearing symbolic jewelry :
Whipped cream:
Whipping :
Wooden paddles :
Wrestling :
What forms of rewards would you like to get as a sub:
Small "presents" (flowers, etc.):
Extra privilages:
Additional "play":
Personal momentos (inc. letters from Dom, etc.):
Massages:
Bubblebaths: