Male BDSM Checklist

For Beginners

First Name:

Date:

Age

Penis size

Height

Weight

Waist size

Disease free?

Drug free?

Use Tab key to move from block to block

Body hair (light, mod. etc)

Pubic hair

Anal hair

Instructions - read carefully

Be sure to mark each item accurately and completely. Don’t miss any.

 How do you feel about it?  No Way = a hard limit   Little/No Interest = a soft limit   Maybe = perhaps as part of our play        

Willing to try = slowly at first     Yes = absolutely    Yes, yes, YES = major turn-on      Email me with any questions

Turn-ons (from fantasy or experience)

How do you feel about it? (Check only one column per item)

These are just some of the things I will do - if you also have an interest.

No way!!

Little   Interest

Maybe

Willing to try

Yes!

Yes, yes YES!

Sexual domination

Humiliation

Pain, mild (spanking, for example)

Pain, moderate

Pain, intense

Feminization (not full cross-dressing)

Bondage

Anal

Oral

Role-play/fantasy

Fear and/or panic (Safe, of course)

Body shaving (hair can get in the way)

Rimming (giving)

Add your own item

Add your own item

Places you love touch and sensations

Ears

Mouth

Belly

Thighs

Feet

Penis

Butt

List any allergies that the Dom (me) should be aware of.       This may include allergies to Latex, food, scents, lotions,  etc.

Any medical problems or issues? (if yes, give details:)

Do you or have you ever used IV drugs?

If you have any STD's, list them here.

Have you ever been exposed to HIV/AIDS?

When were you last tested?

Do you always practice safe sex? Note any exceptions.

Any specific subject not described in this list that the Dom (me) should be concerned with? (If yes, briefly describe)

Is BDSM just role-play for you, or is it part of your very being?

Do you smoke?