Questionnaire
This may be the most detailed questionnaire you have ever completed about yourself.
However in a Master/slave relationship, complete openness is required in order for it to
be successful.
The potential slave agrees to answer all questions with total honesty and as much soul
searching as it is able. This is required in regards to each and every question.
The basis of the relationship with your potential Owner and your own growth as His
slave demands total honesty and relaxed, focused attention to all details requested. The
spacing of this questionnaire does not determine the length of your answers.
Part One: General overview and Information
Date:
Full Name:
Contact number and time you normally can be reached:
Email addresses:
Other means of contact:
Age: DOB: / /
Weight: Height:
Physical address:
Mailing address (if different)
A. How may years of experience do you have?
B. How long have you known of your interest in bdsm?
C. What is your sexual orientation? Highlight one
1. Heterosexual exclusively
2. Bisexual
3. Homosexual
4. BiCurious
5. Masters decision
D. What kind of relationship are you presently able to provide to a Master?
Hightlight as many as apply
1. Long term, live in
2. Offline, meeting often
3. Offline, meeting occasionally
4. Online and offline, meeting often
5. Online and offline, meeting occasionally
6. Online only
7. Not sure yet
E. Main interest Highlight as many as apply
1. Sensual and physical
2. Psychosexual and mental
3. Both equally
4. serving your Master
F. Are you... (rate each from 1=lowest to 10=highest) if explanation is necessary do so.
Sadistic ____
Masochistic ____
Dominant ____
Submissive ____
Switch ____
G. Your level of interest in bondage: Hightlight one
1. Total helplessness
2. Light bondage
3. Not my favorite thing
4. Outside my limits
5. Never tried it
H. Pain (what you are, or what you're looking for) Highlight as many as apply
1. Pain slut
2. Whipping, caning, paddling
3. Light paddling, sensual whipping, no marks
4. not interested
Part two: Detailed questions
All answers are expected to elaborate on the subject matter in question. No one
(1) word answers are to be given. All answers shall be a minimum of one full
sentence.
1. i seek and require the guidance of a Master to....?
(What being a slave is going to do for you?)
2. i seek and require the guidance of a Master because....?
(Why do you have the need for a Master?)
3. How important is the fulfillment of these needs to you?
4. i seek to provide my Master with....?
(psychologically, emotionally, and sexually.)
5. my concept/definition of 'submission' is....?
6. my concept/definition of 'servitude' is....?
7. my concept/definition of "commitment' is....?
8. my favorite sexual fantasy is....?
9. Describe the following areas that you have endured and how you would like your
limits expanded within each situation.
a. Tit torture
b. Ass play
c. Bondage scenes
d. Whipping scenes
e. Humiliation
10. Describe any areas not mentioned you have endured and how you would like your
limits of such expanded.
11.In what area(s) do you require concentrated training?
12. Are you willing to accept the idea of being trained as the property of your Master?
13. Describe how you will serve your Master in His absence.
14. The following two questions deal with your current and initial preferences. These
two questions may be answered with either a "Yes, Sir!" or a "No, Sir!" as long as you
elaborate upon them with a minimum of one full sentence:
Do you prefer your Master to be:
Rough, tough, and stubborn?
Firm, stern, yet considerate?
Something else? What?
Do you prefer to:
· be commanded and ordered about?
· be given a set rules to obey?
· know the reason for some commands/orders?
· have no say in your training and use?
· have input in your training and use?
15. Comments. (on any area(s) not covered by the questionnaire that you feel are
relevant in your case that have not been addressed.)
16. What are your known Hard-limits that you would like to maintain?
This is a detailed part of the questionnaire: if your answer to a) is no training, you
may skip parts b thru g
a) Prepare a detailed description of your former training. Start at the beginning and
take it Master by Master.
b) Describe the type of training you received and types of scenes you had.
c) Explain any problems with the relationships.
d) How long you were trained and what the major thing you learned from each.
e) What you liked and did not like about previous training experiences.
f) Describe how your were rewarded and punished.
g) In addition describe any experience you have had as a switch.
Part Three: experience level and interests
your potential Master does not necessarily engage in any of the following-
described conduct. However, it is essential that you provide scrupulously
accurate answers so I can realistically assess your qualifications as well as
whether I need to address other issues in your personality besides your desire to
serve.
For each item, you need to provide two to three answers:
For experience, write YES or NO next to each item to indicate if you have ever
DONE that activity. If NO, and it is something you want to try, place an * next to
the word No.
For willingness, indicate for each item how you feel about DOING that activity by
rating it on a scale of 0 to 6 ("?" means you don't understand what the item is
attempting to describe.
0 (zero) means basically a hard limit and that you have absolutely no desire to do
this.
1 indicates you have utterly no desire to do that activity and don't like doing it (in
fact, may loath it) and would ordinarily object to doing it, but you would permit
the Master to do it if it they really wanted it. (sometimes called a "soft limit").
2 means you don't want to do or like to do this activity, but wouldn't object if it
was asked of you.
3 means you are willing to do this activity, but it has no special appeal for you.
4 means you usually like doing this activity, at least on an irregular/occasional
basis.
5 means you like doing this activity, and would like to experience it on a regular
basis.
6 means the activity is a wild turn-on for you and you would like it as often as
possible.
Note any additional information or nuances which might be important for your
Master to know in the margin to the right.
Abrasion :
Anal sex (top) :
Anal sex (bottom) :
If so, ever without condoms?:
Anal plugs (small) :
Anal plugs (large) :
Anal plug (public, under clothes):
Animal roles :
Arm & leg sleeves (armbinders) :
Asphyxiation :
Ass licking (giving):
Ass licking (receiving):
Bathroom use control :
Beating (soft) :
Beating (hard) :
Being rented to others:
Being Auctioned off:
Being Outed as part of Humiliation:
Bestiality (k9):
Bestiality -other:
Blindfolds :
Being bitten :
Breath control :
Branding :
Boot worship :
Bondage (light) :
Bondage (heavy) :
Bondage (multi-day) :
Bondage (public, under clothing) :
Breeding:
Brown showers (scat) :
Cages (locked inside of) :
Caning :
Catheterization :
Cattle prod, stun gun, tazers (electrical toy) :
Cells/Closets (locked inside of) :
Chains :
Chastity belts :
Clothespins :
(if you have had them used where?:)
Cock sucking:
Do you swallow?:
Collars (worn in private) :
Collars (worn in public) :
Cuffs:
Diapers (wearing) :
Denied privacy:
(describe the denial:)
Douches as part of play:
Dildos :
Eating Cunt:
Electricity :
Enemas (for cleansing) :
Enemas (retention/punishment) :
Enforced chastity :
Erotic dance (for audience):
Erotic dance (private) :
Examinations (physical) :
Exercise (forced/required) :
Exhibitionism :
Eye contact restrictions :
Face slapping :
Fantasy rape :
Fear (being scared) :
Fisting (anal) :
Doulbe Fisting (anal):
Fisting (pussy):
Double Fisting (pussy):
Double Fisting (1 in each hole):
Flame (fire play) play :
Foot worship :
Forced masturbation :
Forced nudity (private) :
Forced nudity (around others) :
Forced servitude :
Full head hoods :
Gags:
Given away to another Master (temp) :
Servicing another Master upon command:
Golden showers :
Hairbrush spankings :
Hair pulling :
Hand jobs (giving) :
Harnessing (leather and or rope) :
Homage with tongue (non-sexual) :
Homage with tongue (sexual):
Hoods :
Hot Creams (Ben-Gay) on genitals:
Hot oils (on genitals) :
Hot waxing :
Housework (doing) :
Human puppy dog :
Humiliation :
Ice cubes :
(If you have experienced, where?:) (nips, ass, pussy)
Immobilization :
(If so, how?)
Interrogations :
Leather clothing :
Leather restraints :
Licking (non-sexual) :
Lingerie (wearing) :
Manacles & Irons :
Massage (giving) :
Massage (receiving) :
Medical scenes :
Modeling for erotic photos :
Photographing your training sessions with your Master:
Mouth bits :
Multi-partners:
Mummification :
Needle Play:
Nipple clamps :
Nipple rings (piercing):
Nipple play/"torture" :
Nipple weights :
Object insertions:
Oral/anal play (rimming):
Over-the-knee spanking :
Orgasm denial :
Orgasm control :
Outdoor scenes :
Outdoor sex :
Pain (severe) :
Pain (mild) :
Piercing (temporary, play-pierce):
Piercing (permanent) :
Prison scenes :
Punishment Scene :
Pussy torture:
(describe torture:)
Restrictive rules on behavior :
Rubber/latex clothing :
Rope body harness :
Role playing:
Saran wrapping :
Sensory deprivation :
Serving as ashtray :
Serving as furniture :
Serving as a maid :
Serving as toilet (urine) :
Serving orally (sexual) :
Serving other Masters (supervised) :
Serving other Masters (unsupervised):
Serving others as sex slave:
Shaving (body hair) :
Shaving (head hair) :
Slave positions training:
Sleep deprivation :
Spandex clothing :
Spanking :
Speech restrictions (when, what) :
Spitting :
Spreader bars :
Stocks :
Straight jackets :
Strapping (full body beating) :
Strap-on dildo receiving:
Strap-on dildo giving:
Suspension (upright) :
Suspension (inverted) :
Suspension (horizontal) :
Supplying new partners for Master :
Swallowing semen :
Swallowing urine: yours?; others?
Swapping:
Tattoos:
TENS Unit (electrical toy) :
Tickling :
Tortured:
Uniforms :
Verbal humiliation :
Vibrator on genitals :
Violet Wand (electrical toy) :
Voyeurism (watching others) :
Video (watching others) :
Video (recordings of you) :
Waxing (hair removal) :
Whipping :
Wooden paddles :
Wrestling :
Other things not listed write here with your answers:
Willingness quick-key
? Don't understand this item.
No* I have not done this but I would like to try it
0 (zero) I WILL NOT DO that item under ANY circumstances (a hard limit).
1 No desire, don't like, will permit if special to Master (a soft limit).
2 Don't want to do, but will.
3 Willing to do, but has no special appeal.
4 Usually LIKE doing, on an occasional basis.
5 LIKE doing, would like it on a regular basis.
6 WILD TURN-ON, would like it as often as possible.
What you think is your best physical feature:
What you think is your worst physical feature:
Do you have any tattoos or piercing?
What has been your most intense scene involving BD/SM?
Part Four: Background
HEALTH ISSUES
Do you smoke?
Do you drink?
How often:
Amount:
Do you use drugs?
How often:
Prescription:
Other drugs:
Have you been in a drug abuse program?
Have you been diagnosed with mental problems?
Describe:
Do you have any disabilities (visible or invisible)?
Describe:
Do you wear contact lenses?
Do you have any special dietary needs or restrictions?
Describe:
Are you allergic to dogs, cats, or other?
Do you have any sexually transmitted diseases?
Are you subject to any form of loss of consciences or seizures?
Do you have panic attacks or phobias?
Do you now or have you suffered from depression?
What was your last illness that resulted in hospitalization and when?
List you sex toys below and tell me the ones used most often.
RELATIONSHIPS
Current martial status:
Have you been married before: if yes, very short summary of details:
Have you ever been unfaithful?
Describe:
Is there any reason why you would not be able to commit 100%?
(past, present or future reason)
Have you ever intentionally made your sex partner or MASTER mad?
If so why: Circumstances, frequency and preference:
What is the most you have ever cum in a 24 hour time period? Describe circumstances.
How often do you masturbate and what methods do you use?
Do you freely admit when you have done something wrong and are you prepared
for the punishment?
Describe:
Have you violated any law in the past two years?
Have you been arrested?
Describe:
How do you characterize your housekeeping abilities?:
Describe your culinary abilities:
Do you have any strongly felt political beliefs? If so, describe.
When other people meet you and get to know you, what do you think is the MOST
important thing about you that they like about you?
What is your worst habit, i.e., is there anything you do which you wish you could stop
doing?
Overall, what do you think makes you the sort of person other people want to be
around?
What personality trait of yours do you think your friends like the least?
What are your movie tastes?
What are your musical tastes?
What is your current employment?
How long?
What is your source of income?
Describe your hobbies:
Describe what social activities you regularly engage in:
Describe your abilities when it comes to handling your personal finances:
What are your thoughts about obeying a Master's orders?
Are there any situations in which you think you would hesitate to follow your Master's
orders?
Do you feel that any current or prior religious beliefs will cause you personal conflict in
slave training and obedience?
In what areas would you not be willing to defer to your Master's orders? Specifically,
control of a slave involves control of her mind. Are there any portions of your thoughts
which would be off limits to your Master. Explain each item.
Are you willing to enter into an ownership agreement if the chemistry is right? If so, what
rights would you, as a slave insist on being part of such a contract?
Are you willing to sign a contract or training agreement that details the direction of your
training?
What are your biggest fears about undergoing slave training?
What do you look forward to the most about undergoing slave training?
Do you have problems reaching orgasm?
Are you able to relocate to became a 24/7 slave?
One final question: Suppose your MASTER does something which strikes you as being
absolutely stupid, irresponsible, or asinine, i.e., something that makes you realize that
your Master has flaws. How do you believe you would handle this? How do you think it
might affect your ability to be submissive to your MASTER?
