YES, NO, MAYBE- LIST

Yes - Activities you are excited about doing/trying Maybe- Activities you are curious about /willing to talk about exploring No- Not interested or could be a limit/trigger

Also include: T - Top or Do-er of the action B- bottom or the receiver S- you like to switch (Top or bottom) with this activity X- Indicates something you have never tried !- Indicates a favorite activity

Kissing Whips: Gentle touch/caress: Canes: Cuddling: Crop: Tickling : Other: Impact (hands) Restraints Spanking: Rope: Over the knee (OTK) Spanking: Chains: Vampire gloves: Handcuffs: Face slapping: Quick release (velcro) : Punching play: Bondage (light): Kicking play: Bondage (heavy): Suspension: (implements) Shibari: Belt: Other: Paddle: Flogger :

www.glassgirl.co YES, NO, MAYBE-KINK LIST

Yes - Activities you are excited about doing/trying Maybe- Activities you are curious about /willing to talk about exploring No- Not interested or could be a limit/trigger

Also include: T - Top or Do-er of the action B- bottom or the receiver S- you like to switch (Top or bottom) with this activity X- Indicates something you have never tried !- Indicates a favorite activity

Orgasm Play Anal Play Orgasm Control: Anal sex: Chastity: Pegging: Denial: Rimming: : Using toys: Forced orgasms: Using fingers: Ruined orgasms: Butt plugs: Enemas for prep? Breath Play Enemas as part of play? Gripped at neck: Scat: Choking: Gags: Breast Play Objects in mouth: Nipple stimulation hands: Nipple stimulation mouth: Oral Breast : Blow jobs/cock worship: Nipple Clamps: Facials: Breast impact: Cunninglingus:

R.A.C.K =Risk Aware Consensual Kink www.glassgirl.co YES, NO, MAYBE-KINK LIST

Yes - Activities you are excited about doing/trying Maybe- Activities you are curious about /willing to talk about exploring No- Not interested or could be a limit/trigger

Also include: T - Top or Do-er of the action B- bottom or the receiver S- you like to switch (Top or bottom) with this activity X- Indicates something you have never tried !- Indicates a favorite activity

Penetration: : Fingers: : Toys (dildos, vibrators, others?): Ice play: Fisting: Abrasion play: Penis /Strap on: Being blindfolded: Favorite positions? Fireplay: Electric play (Violet Wand, E-Stim): Primal Play Teasing: Biting: Scratching: Body Modification Pursuit /chase: Piercings: (permanent /temporary) Growling: Wrestling: Shaving head: Being pinned/held down: Branding: Tattoos: Cutting: Artistic Cutting:

R.A.C.K =Risk Aware Consensual Kink www.glassgirl.co YES, NO, MAYBE-KINK LIST

Yes - Activities you are excited about doing/trying Maybe- Activities you are curious about /willing to talk about exploring No- Not interested or could be a limit/trigger

Also include: T - Top or Do-er of the action B- bottom or the receiver S- you like to switch (Top or bottom) with this activity X- Indicates something you have never tried !- Indicates a favorite activity

Role Play Group Play Threesomes Medical/Doctor/Nurse: (circle what you are interested in): Teacher/Student: MMF/ FFM Boss Secretary : MFM/FMF MMM/FFF Ageplay (Non-sexual) :

Age Play (Sexual) : Foursomes: Orgy: ABDL (Diaper Play): Partner Swapping: Gang bangs: Predator/prey: Bukkake: Pet play/pony play: Double penetration: Triple penetration: Religious play:

Online roleplay: Other:

R.A.C.K =Risk Aware Consensual Kink www.glassgirl.co YES, NO, MAYBE-KINK LIST

Yes - Activities you are excited about doing/trying Maybe- Activities you are curious about /willing to talk about exploring No- Not interested or could be a limit/trigger

Also include: T - Top or Do-er of the action B- bottom or the receiver S- you like to switch (Top or bottom) with this activity X- Indicates something you have never tried !- Indicates a favorite activity

Degradation Exhibitionism: Words I enjoy saying, hearing: (slut, whore etc)

Voyeurism: Humiliation verbal:

Other: Kinks or Fetishes not mentioned? : (places you enjoy giving/receiving attention)

Watersports : Needle play: : :

R.A.C.K =Risk Aware Consensual Kink www.glassgirl.co YES, NO, MAYBE-KINK LIST

Power Exchange

Master/ Dominant /Top: Ways I enjoy expressing Dominance:

Slave/ Submissive /bottom Ways I enjoy expressing submission:

Types of Protocols I enjoy : (tasks, attire selections for example)

R.A.C.K =Risk Aware Consensual Kink www.glassgirl.co YES, NO, MAYBE-KINK LIST

Physical Health Conditions/Concerns?

Allergies?

Mental Health Conditions/Concerns? (please include any triggers and how they are best avo ided/supported)

Limits:

Aftercare:

R.A.C.K =Risk Aware Consensual Kink www.glassgirl.co