I slave , am filling this list out at the request of - Mistress Luna.

My experience in BDSM generally is best described as: (use bold or underline on relevant description).

None Some Casual Serious Extensive

How to complete the forms:

A. Done it- YES or NO- indicate if you done or no that before.

B. Indicate if you would like or not to do.

Activity / Fetish A B Anal penetration

(dildo) Anal fisting

(receiving) Dildo worship (doing) Strap-ons (receiving) Vibrator/dildo Eating/drinking cum

(own)

BONDAGE

Degree of immobility or helplessness enjoyed or prepared to accept (use bold or underline on relevant description).

Mild/Medium/Severe - Extreme

A. Done it- YES or NO- indicate if you done or no that before.

B. Indicate if you would like or not to do.

Activity / Fetish A B Overnight duration Cage Collar Cotton ropes Chains Cuffs Gags (ball) Gags (funnel) Gags (panties) Genital Leather restraints Mummification Spreader-bars

PUNISHMENT

Do you respond to punishment? Your answer and details came here :

Under what circumstances is punishment not ok? Your answer here:

A. Done it- YES or NO- indicate if you done or no that before.

B. Indicate if you would like or not to do.

Activity / Fetish A B Belt/strap Denial of orgasm Isolation Riding crop Rubber whip Silent Treatment Single lash Spanking Caning Clip & Clamps CBT [Cock & Ball torture] Electrical play Flogging Hair Pulling Hot Wax Paddling Whipping (single tail) Slapping Spanking (hand) Hoods Blindfolds Head Harness Ice Interrogations Photographs Sensory deprivation Shaving Teasing Videoed scenes

ROLE PLAY

A. Done it- YES or NO- indicate if you done or no that before.

B. Indicate if you would like or not to do.

Activity / Fetish A B Pony Dog Patient Victim Prison Inmate Slut Furniture Pig Maid Sissy Adult-Baby

FETISH

What items or types of play make the little man in your boat stand up and sing? Answer here:

A. Done it- YES or NO- indicate if you done or no that before.

B. Indicate if you would like or not to do.

Activity / Fetish A B Restraints Feet / Foot Worship Stockings Corsets High heel Worship High heeled Boot

Worship Enforced chastity Masks / Uniforms High heel wearing

(you) Voluntary X dressing Forced X dressing Public X dressing Latex Rubber Leather Watersports (not consuming) Watersports (consuming directly or from glass)

HUMILIATION & EXHIBITIONISM

Is humiliation something you might/like to get into?

What about being displayed in public?

Any types of humiliation that would be off ?

A. Done it- YES or NO- indicate if you done or no that before.

B. Indicate if you would like or not to do.

Activity / Fetish A B Cross dressing Crawling Dirty words Face slapping [in

private only] Face slapping [in

public] Foot kissing Kneeling Lead on leash Public display Public embarrassment Ashtray Verbal abuse, spitting Examination /

Inspection Objectification Toilet Forced Nudity Given Away

Branding Caning Clip & Clamps Cock & Ball torture Electrical play Flogging Hair Pulling Hot Wax Paddling Whipping (single tail) Slapping Spanking (hand) Hoods Blindfolds Head Harness Ice Interrogations Photographs Sensory deprivation Shaving Teasing Videoed scenes

For you, the turn on of BDSM is: (rate from 1 to 6 with 1 being most erotic). Please feel to add text if you wish.

Visual Psychological Aural (sound) Sensory-

intense Emotional Sensual-erotic Other

What positions have the highest erotic value for you (rate from 1 to 6 with 1 being most erotic and also can add some words if you feel so! ).

Standing

bondage Lying on

back Lying face

down Hands &

Knees Kneeling Other Write here if you have any medical conditions or problems if stay longer in one position:

These activities interest me and why.

Discipline

Punishment

Mental Domination

Non Consensual

Exhibitionism

Humiliation

Fear Play

Bondage

Sensory Deprivation

Forced

Role Play

Public Play

Mummification

Extreme Punishment

Extreme Pain

Long Term Service

Slavery

Your biggest fantasy is-

Your favorite scene was -

Your worst scene was -

Your biggest fears are -

What parts of your body are most erotically sensitive?

List any known limits for your self: