If I Ever See Another Checklist I Will Scream

An Extremely Thorough Play Checklist

By Norische

There are a two primary reasons for this checklist, 1) Safety. In all scenes safety should be paramount. This checklist is created to cover health issues, safety issues, as well as personal preferences and experiences. 2) Communication. Sometimes we don’t quite know all the questions to ask or how to communicate to our partner what we want, this checklist will help you establish a greater level of communication and understanding.

This list is designed primarily for the submissive, slave, bottom, or switch. However, it is a good idea for a Dom/Domme, Master/Mistress, top or switch to fill out the applicable information as well. If both parties fill out this checklist then the compatibility between partners can be examined.

First – Fill out any portion applicable of the Safety Section

Second – Write YES or NO or N/A next to each item to indicate whether you have ever participated in this activity, or if it is Not Applicable to you.

Third – Indicate your like or dislike about doing each item based on a scale of 0 to 5.

Fourth – Write NO next to anything you would consider a HARD LIMIT, this means you would NOT consider doing this activity under any circumstances.

0 (zero) – indicates you are in NO way interested in doing that activity.

1(one) – indicates you do not want to or like to do this activity but might for the right person, under the right circumstances.

2(two) – indicates you are willing to do this activity, although it isn’t one of your favorites.

3(three) – indicates you are willing to do this activity occasionally.

4(four) – indicates you are willing to do this activity on a regular basis.

5(five) – indicates you love doing this activity as often as possible.

? – indicates you are not familiar with the activity or do not understand the question

/ - indicates that you understand the activity but are unsure of how to answer

Part 1 – Safety

I am mainly into (Circle One):

D/s

Sadism

Masochism

Bondage

Fetish

Power Exchange

Safety Codes:	Red: Stop	____________________________
	Yellow: I’m ok but slower/less/careful	____________________________
	Green: I’m fine, go on, more	____________________________

Safe word:

____________________________

Visible bruises/cuts/marks must be avoided (Y/N):

____________________________

Heath Issues:	Hemophilia	____________________________
	Allergies	____________________________
	Asthma	____________________________
	Breathing Problems	____________________________
	Blood Sugar Issues	____________________________
	Circulation	____________________________

Medications: Have you taken any medications, including Aspirin within the last 4 - 6 hours. Please include any Prescription medication you are on.

_________________________________________________________________

No hit zone if any:

_________________________________________________________________

Phobias or Fears:

_________________________________________________________________

Other Remarks:

_________________________________________________________________

I want aftercare (Y/N)

____________________________

I like to talk after a scene (Y/N)

____________________________

I want extensive verbal communication during a scene (Y/N)

____________________________

I want music during the scene (Y/N)

____________________________

Part 2 – Activities

			0 - 5
Abrasion/Abrasive Play	Yes	No	_____
Acrophilia (arousal from heights)	Yes	No	_____
Acrotomphilia (arousal from stumps or amputees)	Yes	No	_____
Adult Baby	Yes	No	_____
Aftercare (at finish of play)	Yes	No	_____
Age Role Play (Specify Age)	Yes	No	_____
Agalmatophilia (arousal by sex with statues)	Yes	No	_____
Amazon Women	Yes	No	_____
Anal Beads	Yes	No	_____
Anal Play (stimulation play of the anus)	Yes	No	_____
Anal Plugs (large)	Yes	No	_____
Anal Plugs (small)	Yes	No	_____
Anal Plug (public, under clothes)	Yes	No	_____
Anal Sex (giving, strap on)	Yes	No	_____
Anal Sex (receiving)	Yes	No	_____
Animal Role Play	Yes	No	_____
Anilingus (giving oral/anal stimulation)	Yes	No	_____
Anilingus (receiving oral/anal stimulation)	Yes	No	_____
Ankle Restraints	Yes	No	_____
Anthropomorphic (self contrived or false amputation)	Yes	No	_____
Arm or Leg Sleeves (arm binders)	Yes	No	_____
Aromas	Yes	No	_____
Asphyxiation	Yes	No	_____
Attraction for Uncircumcised Penis	Yes	No	_____
Auctioned as Slave	Yes	No	_____
Auctioned (for specified use by purchaser)	Yes	No	_____
Auto-Erotic Asphyxiation (to heighten sexual pleasure)	Yes	No	_____
Ball Gag	Yes	No	_____
Ball/Testicle Stretching	Yes	No	_____
Bareback (sexual intercourse without using a condom)	Yes	No	_____
Barosmia (arousal from the smell of flagellation)	Yes	No	_____
Bastinado (beating the soles of feet)	Yes	No	_____
Bathroom Use Control	Yes	No	_____
Battery Play (9 Volt)	Yes	No	_____
BBW (Big Beautiful Women)	Yes	No	_____
Begging	Yes	No	_____
Being Boxed (coffin, crate, cage, etc)	Yes	No	_____
Being Serviced (sexually)	Yes	No	_____
Belly Dancing	Yes	No	_____
Belly Punching	Yes	No	_____
Ben Wa Balls	Yes	No	_____
Bestiality (specify animal)	Yes	No	_____
Bicourious	Yes	No	_____
Bisexuality	Yes	No	_____
Biting	Yes	No	_____
Blackmail/Financial Subjection	Yes	No	_____
Blindfolds (being blindfolded)	Yes	No	_____
Blood Play	Yes	No	_____
Blow Up Sex Dolls	Yes	No	_____
Blue Balls (ball torture)	Yes	No	_____
Body Bag	Yes	No	_____
Body Piercing (temp)	Yes	No	_____
Body Piercing (permanent)	Yes	No	_____
Bondage (ropes)	Yes	No	_____
Bondage (cuffs)	Yes	No	_____
Bondage (duct tapes)	Yes	No	_____
Bondage (heavy)	Yes	No	_____
Bondage (Japanese)	Yes	No	_____
Bondage (light)	Yes	No	_____
Bondage (long, extended time)	Yes	No	_____
Bondage (outdoor setting)	Yes	No	_____
Bondage (private setting)	Yes	No	_____
Bondage (public setting, under clothes)	Yes	No	_____
Bondage (steel, wire, metal)	Yes	No	_____
Boot Worship	Yes	No	_____
Branding or Cauterization Branding	Yes	No	_____
Breast/Chest Bondage	Yes	No	_____
Breast Flagellation	Yes	No	_____
Breast/Chest Fucking	Yes	No	_____
Breast Torture	Yes	No	_____
Breath Control/Play	Yes	No	_____
Brown Showers (Scat)	Yes	No	_____
Bruises	Yes	No	_____
Butch/Femme Role Play	Yes	No	_____
Butt Plugs	Yes	No	_____
Cages	Yes	No	_____
Canes (hard)	Yes	No	_____
Canes (light)	Yes	No	_____
Canes (caning as punishment)	Yes	No	_____
Canes (sensual)	Yes	No	_____
Canes (Tattoo)	Yes	No	_____
Castration Fantasy	Yes	No	_____
Catheters	Yes	No	_____
Cat – O – Nine Tails (flogger)	Yes	No	_____
Cat – O – Nine Tails (knotted)	Yes	No	_____
Cattle Prod	Yes	No	_____
CBT (Cock, Ball Torture)	Yes	No	_____
Cells/Closets/Confined Spaces (locked in)	Yes	No	_____
Chains (hung from, wrapped in, confined)	Yes	No	_____
Chamber Pot Use	Yes	No	_____
Chair Bondage	Yes	No	_____
Chastity Belt (short term)	Yes	No	_____
Chastity Belt (Multi day)	Yes	No	_____
Chauffeuring	Yes	No	_____
Choking	Yes	No	_____
Chores (domestic service)	Yes	No	_____
Circumcised Penis	Yes	No	_____
Clitoris Bondage	Yes	No	_____
Clitoris Piercing (permanent)	Yes	No	_____
Clitoris Piercing (temp)	Yes	No	_____
Clitoris Vacuum Pumping	Yes	No	_____
Clothespins	Yes	No	_____
Cock Worship	Yes	No	_____
Collar and Leash	Yes	No	_____
Collars (worn in Private)	Yes	No	_____
Collars (worn in Public)	Yes	No	_____
Competitions (with other subs/slaves/bottoms)	Yes	No	_____
Consensual Non-Consensuality	Yes	No	_____
Corsets (casual wearing)	Yes	No	_____
Corsets (trained waist reduction)	Yes	No	_____
Corsets (for purpose of body modification)	Yes	No	_____
Crawling	Yes	No	_____
Cross-Dressing/Gender bending	Yes	No	_____
Crucifixion	Yes	No	_____
Cuffs (metal)	Yes	No	_____
Cuffs (leather)	Yes	No	_____
Cunnilingus (giving)	Yes	No	_____
Cunnilingus (receiving)	Yes	No	_____
Cunnilingus (while menstruating)	Yes	No	_____
Cunnilingus (while urinating)	Yes	No	_____
Cupping	Yes	No	_____
Cutting	Yes	No	_____
Dacryphlia (arousal from tears)	Yes	No	_____
Damsel in Distress Fetish	Yes	No	_____
Deep Throating	Yes	No	_____
Denied Orgasm	Yes	No	_____
Dental Gags – Retractors	Yes	No	_____
Dental Play	Yes	No	_____
Dilation (sphincter relaxation)	Yes	No	_____
Dildo (using on self)	Yes	No	_____
Dildo (using on partner)	Yes	No	_____
Directed Bisexuality	Yes	No	_____
Directed Daily Activities	Yes	No	_____
Dirty Talk	Yes	No	_____
Dirty Sex (mud, dirt, oil, rubbish)	Yes	No	_____
Discipline	Yes	No	_____
Double Penetration (dildos)	Yes	No	_____
Double Penetration (multiple partners)	Yes	No	_____
Douching	Yes	No	_____
D/s, Domination, and submission	Yes	No	_____
Edge Play (extending the boundaries of play)	Yes	No	_____
Electric Torture	Yes	No	_____
Electric Play	Yes	No	_____
Enema (giving)	Yes	No	_____
Enema (receiving)	Yes	No	_____
Enema (for cleaning)	Yes	No	_____
Enema (for punishment)	Yes	No	_____
Enforced Chastity	Yes	No	_____
Erotic Dance (doing)	Yes	No	_____
Erotic Dance (watching)	Yes	No	_____
Erotic Humiliation	Yes	No	_____
Examinations (medical)	Yes	No	_____
Examinations (physical)	Yes	No	_____
Examinations (publicly as slave)	Yes	No	_____
Exercise (forced)	Yes	No	_____
Exhibitionism (friends)	Yes	No	_____
Exhibitionism (strangers)	Yes	No	_____
Eye Contact Requirements	Yes	No	_____
Eye Contact Restrictions	Yes	No	_____
Face Slapping	Yes	No	_____
Fantasy Abandonment	Yes	No	_____
Fantasy Abduction	Yes	No	_____
Fantasy Gang Rape	Yes	No	_____
Fantasy Rape	Yes	No	_____
Fantasy of Rendered or Unconscious Men/Women	Yes	No	_____
Fear (being scared)	Yes	No	_____
Feathers and Fur play	Yes	No	_____
Feces play (human on body)	Yes	No	_____
Feces play (animal on body)	Yes	No	_____
Feces play (human on face)	Yes	No	_____
Feces play (animal on face)	Yes	No	_____
Feces play (eating)	Yes	No	_____
Fellatio (giving)	Yes	No	_____
Fellatio (receiving)	Yes	No	_____
Fellatio (mutual)	Yes	No	_____
Fellatio (while urinating)	Yes	No	_____
Fellatio (condom covered)	Yes	No	_____
Female Body Builders	Yes	No	_____
Female Ejaculation	Yes	No	_____
Female to Female (strap on penetration anal)	Yes	No	_____
Female to Female (strap on penetration virginal)	Yes	No	_____
Female to Male (strap on penetration anal)	Yes	No	_____
Femoral Intercourse (fucking closed thighs)	Yes	No	_____
Fighting/Catfight	Yes	No	_____
Finger Sucking	Yes	No	_____
Fire Play	Yes	No	_____
Fisting (anal, giving)	Yes	No	_____
Fisting (anal, receiving)	Yes	No	_____
Fisting (vaginal, giving)	Yes	No	_____
Fisting (vaginal, receiving)	Yes	No	_____
Fisting (double)	Yes	No	_____
Flame play	Yes	No	_____
Flogging (giving)	Yes	No	_____
Flogging (receiving)	Yes	No	_____
Following Orders	Yes	No	_____
Food Play	Yes	No	_____
Foot Binding	Yes	No	_____
Foot Bondage	Yes	No	_____
Foot Fetish	Yes	No	_____
Foot Licking	Yes	No	_____
Foot Massage	Yes	No	_____
Foot Worship	Yes	No	_____
Forced Bedwetting	Yes	No	_____
Forced Cross Dressing	Yes	No	_____
Forced Dressing	Yes	No	_____
Forced Eating	Yes	No	_____
Forced Domestic Service	Yes	No	_____
Forced Feminization	Yes	No	_____
Forced Homosexuality	Yes	No	_____
Forced Heterosexuality	Yes	No	_____
Forced Masturbation	Yes	No	_____
Forced Panty/Pants Wetting	Yes	No	_____
Forced Nudity (private)	Yes	No	_____
Forced Nudity (public)	Yes	No	_____
Forced Nudity (with group)	Yes	No	_____
Forced Oral Sex	Yes	No	_____
Forced Servitude	Yes	No	_____
Forced Smoking	Yes	No	_____
Frottage (arousal from the rubbing of clothed bodies)	Yes	No	_____
Full Head Hoods	Yes	No	_____
Gags (cloth)	Yes	No	_____
Gags (dental)	Yes	No	_____
Gags (inflatable)	Yes	No	_____
Gags (phallic)	Yes	No	_____
Gags (scarf)	Yes	No	_____
Gags (tape)	Yes	No	_____
Gas Mask	Yes	No	_____
Genital Clamps	Yes	No	_____
Genital Sex	Yes	No	_____
Genitorture (light)	Yes	No	_____
Genitorture (heavy)	Yes	No	_____
Giantess	Yes	No	_____
Given Away to Another Dominant (temp)	Yes	No	_____
Given Away to Another Dominant (permanent)	Yes	No	_____
Glory Hole	Yes	No	_____
Golden Showers (on body)	Yes	No	_____
Golden Showers (on face, hair, in mouth)	Yes	No	_____
G-spot	Yes	No	_____
Gun Play	Yes	No	_____
Hair Bondage	Yes	No	_____
Hair Cutting (head)	Yes	No	_____
Hair Cutting (body)	Yes	No	_____
Hair Holding	Yes	No	_____
Hair Pulling	Yes	No	_____
Hairbrushes (spanked with)	Yes	No	_____
Hand Cuffs	Yes	No	_____
Hand Jobs (giving)	Yes	No	_____
Hand Jobs (receiving)	Yes	No	_____
Hand Licking	Yes	No	_____
Harems (belonging to)	Yes	No	_____
Harems (serving with others)	Yes	No	_____
Harnessing (leather)	Yes	No	_____
Harnessing (rope)	Yes	No	_____
Have clothing chosen for you	Yes	No	_____
Having food chosen for you	Yes	No	_____
Head (giving)	Yes	No	_____
Head (receiving)	Yes	No	_____
Head binding	Yes	No	_____
Head Restraint	Yes	No	_____
Head Shaving	Yes	No	_____
Heat Play (wax, ointment, cigarette)	Yes	No	_____
High Heel Worship	Yes	No	_____
Homage with tongue (non-sexual)	Yes	No	_____
Hoods	Yes	No	_____
Hot Creams	Yes	No	_____
Hot Oils	Yes	No	_____
Hot Waxing	Yes	No	_____
Housework (doing)	Yes	No	_____
Housework (doing nude, scantly clothed)	Yes	No	_____
Human Furniture (foot stool, chair, table)	Yes	No	_____
Human Pet (Cat, Dog, Horse)	Yes	No	_____
Human Toilet	Yes	No	_____
Humiliation (private)	Yes	No	_____
Humiliation (public)	Yes	No	_____
Hypnotism	Yes	No	_____
Hypnotic Female Domination	Yes	No	_____
Hypnotized Men	Yes	No	_____
Ice Cubes	Yes	No	_____
Ice Enemas	Yes	No	_____
Immobilization	Yes	No	_____
Including Others	Yes	No	_____
Infantilism	Yes	No	_____
Infibulation	Yes	No	_____
Inflatable Toys	Yes	No	_____
Initiations / Gauntlets	Yes	No	_____
Injections	Yes	No	_____
Insertable Inflatable Toys	Yes	No	_____
Interrogations	Yes	No	_____
Intricate (Japanese) Rope Bondage	Yes	No	_____
Jacking Off	Yes	No	_____
Kali’s Teeth Bracelet	Yes	No	_____
Kegal Exercises	Yes	No	_____
Keloids (cutting and raising scars)	Yes	No	_____
Kidnapping	Yes	No	_____
Kissing	Yes	No	_____
Kneeling	Yes	No	_____
Kneeling (long)	Yes	No	_____
Knife Play	Yes	No	_____
Kundalini (Chi)	Yes	No	_____
Labia Enlargement	Yes	No	_____
Labia Saline Injections	Yes	No	_____
Labia Stretching	Yes	No	_____
Labia Clips	Yes	No	_____
Labia Weights	Yes	No	_____
Latex Clothing	Yes	No	_____
Lactation play	Yes	No	_____
Lactating Women	Yes	No	_____
Large Insertable Toys	Yes	No	_____
Lead on Leash	Yes	No	_____
Leather Clothing	Yes	No	_____
Leatherman/woman	Yes	No	_____
Leather Restraints	Yes	No	_____
Lectures for Misbehavior	Yes	No	_____
Leg Sleeve/Binder	Yes	No	_____
Licking (floor)	Yes	No	_____
Licking (people)	Yes	No	_____
Licking (toilet bowl)	Yes	No	_____
Lifting and Carrying cradle style in arms	Yes	No	_____
Lingerie (on your partner)	Yes	No	_____
Lingerie (wearing)	Yes	No	_____
Liquid Rubber	Yes	No	_____
Litter Box Using	Yes	No	_____
Manacles, Shackles, leg irons	Yes	No	_____
Manicures (giving)	Yes	No	_____
Manicures (receiving)	Yes	No	_____
Masturbation	Yes	No	_____
Masturbation (in front of partner)	Yes	No	_____
Masturbation (in front of others)	Yes	No	_____
Masturbation (with same sex group)	Yes	No	_____
Medical Play	Yes	No	_____
Men in Underwear	Yes	No	_____
Menstruation Fetish	Yes	No	_____
Mind Control	Yes	No	_____
Mind Fucking	Yes	No	_____
Modeling for Erotic Photos	Yes	No	_____
M/s Master/Mistress/slave	Yes	No	_____
Multiple Orgasms	Yes	No	_____
Mummification	Yes	No	_____
Name Change (for scene)	Yes	No	_____
Name Change (legal, permanent)	Yes	No	_____
Name Change (online)	Yes	No	_____
Necrophilia (arousal by someone in corpse like state, or corpse)	Yes	No	_____
Needle Play	Yes	No	_____
Nipple Clamps	Yes	No	_____
Nipple Play	Yes	No	_____
Nipple Rings (piercing)	Yes	No	_____
Nipple Sucking	Yes	No	_____
Nipple Torture	Yes	No	_____
Nipple Weights	Yes	No	_____
Non Penetrative Sex	Yes	No	_____
Nymphomania (abnormal sexual appetite)	Yes	No	_____
O Kee Pa (the Sun Dance)	Yes	No	_____
Objectification (being Property)	Yes	No	_____
Orgasm Control	Yes	No	_____
Orgasm Denial	Yes	No	_____
Orgasm on Command	Yes	No	_____
Outdoor Sceneing	Yes	No	_____
Outdoor Sex	Yes	No	_____
Over the Knee Spanking	Yes	No	_____
Paddles (leather)	Yes	No	_____
Paddles (studded)	Yes	No	_____
Paddles (wooden)	Yes	No	_____
Pain (mild)	Yes	No	_____
Pain (medium)	Yes	No	_____
Pain (severe)	Yes	No	_____
Pain Slut	Yes	No	_____
Panty Wetting	Yes	No	_____
Pelvic Floor Muscle Control	Yes	No	_____
Permanent Record of Sessions (video, photographs)	Yes	No	_____
Persona Training (in scene)	Yes	No	_____
Personality Modification	Yes	No	_____
Phone Sex (commercial provider)	Yes	No	_____
Phone Sex (serving Dom)	Yes	No	_____
Phone Sex (serving Dom’s friends)	Yes	No	_____
Piercing (permanent)	Yes	No	_____
Piercing (temp)	Yes	No	_____
Pinching	Yes	No	_____
Piqurer (stabbing someone with small objects in crowds)	Yes	No	_____
Plaster Casts	Yes	No	_____
Plastic Surgery	Yes	No	_____
Plastic Wrap	Yes	No	_____
Plushie Fetish	Yes	No	_____
Pony Girl/Boy	Yes	No	_____
Postillionage (inserting lubricated finger into anus)	Yes	No	_____
Practice Save Sex	Yes	No	_____
Prostitution (fantasy)	Yes	No	_____
Prostitution (forced)	Yes	No	_____
Prostitution (real)	Yes	No	_____
Prison Scenes	Yes	No	_____
Public Exposure	Yes	No	_____
Public Sex	Yes	No	_____
Pumping	Yes	No	_____
Punch Fucking (extreme fisting)	Yes	No	_____
Punishment (discipline)	Yes	No	_____
Punishment Scene	Yes	No	_____
Pussy Whipping	Yes	No	_____
Pussy Worship	Yes	No	_____
Pygmalionism (sex with mannequins, statues, or blow-up dolls)	Yes	No	_____
Queening (forcing vagina into mouth and nose)	Yes	No	_____
Rape and Abduction Fantasy	Yes	No	_____
Religious Scenes	Yes	No	_____
Restrictive rules on Behavior	Yes	No	_____
Riding Crops	Yes	No	_____
Riding the Wooden Horse (crotch torture)	Yes	No	_____
Rimming (anus licking)	Yes	No	_____
Rituals/ Ceremonies (non-religious)	Yes	No	_____
Rubber, Gummi, Latex, Spandex, Wetsuits, Fetish	Yes	No	_____
Sacred Sex/Sacred Sexuality	Yes	No	_____
Sadomasochism	Yes	No	_____
Safe Call	Yes	No	_____
Saline Injection/Infusion (breasts, labia, testicles-specify)	Yes	No	_____
Saran Wrapping (mummification)	Yes	No	_____
Scarification	Yes	No	_____
Scarves and Mask Fetish	Yes	No	_____
Scratching (giving)	Yes	No	_____
Scratching (receiving)	Yes	No	_____
Secret Sex in Public	Yes	No	_____
Sensory Deprivation	Yes	No	_____
Serving as Maid/Butler	Yes	No	_____
Serving as an Art Object	Yes	No	_____
Serving as an Ashtray	Yes	No	_____
Serving as toilet (feces)	Yes	No	_____
Serving as toilet (urine)	Yes	No	_____
Serving as Waitress/Waiter	Yes	No	_____
Serving Other Dom (supervised)	Yes	No	_____
Serving Other Dom (unsupervised)	Yes	No	_____
Serving Orally (sexual)	Yes	No	_____
Sexual Addiction	Yes	No	_____
Sexual Deprivation	Yes	No	_____
Sexual intercourse with older person (Gerontophilia)	Yes	No	_____
Sexual Sadism	Yes	No	_____
Sharps Play	Yes	No	_____
Shaved Genitals (having)	Yes	No	_____
Shaved Genitals (on partner)	Yes	No	_____
Shaving (below neck)	Yes	No	_____
Shaving (head)	Yes	No	_____
Single-Tail Whip	Yes	No	_____
Skinny Dipping	Yes	No	_____
Slavery	Yes	No	_____
Slave Marking (receiving)	Yes	No	_____
Sleep Deprivation	Yes	No	_____
Sleeping Bondage (heavy)	Yes	No	_____
Sleeping Bondage (light)	Yes	No	_____
Sleeping on Floor	Yes	No	_____
Sleep sacks	Yes	No	_____
Slings/Swings	Yes	No	_____
Slutty Clothing (private)	Yes	No	_____
Slutty Clothing (public)	Yes	No	_____
Smoking females or Smoking Fetish	Yes	No	_____
Sneezing Fetish	Yes	No	_____
Spandex Clothing	Yes	No	_____
Spanking (giving)	Yes	No	_____
Spanking (receiving)	Yes	No	_____
Spanking (belt, leather strap)	Yes	No	_____
Spanking (hand)	Yes	No	_____
Spanking with implement	Yes	No	_____
Speaking Restrictions	Yes	No	_____
Speculums (anal)	Yes	No	_____
Speculums (vaginal)	Yes	No	_____
Spitting (on body)	Yes	No	_____
Spitting (in mouth)	Yes	No	_____
Spreader Bars	Yes	No	_____
Standing In Corner	Yes	No	_____
Stocks/Pillory	Yes	No	_____
Straight Jackets	Yes	No	_____
Strap-on-dildos (penetrated anally)	Yes	No	_____
Strap-on-dildos (penetrated vaginally)	Yes	No	_____
Strap-on-dildos (sucking)	Yes	No	_____
Strap-on-dildos (wearing)	Yes	No	_____
Strapping (full body beating)	Yes	No	_____
Submission (private)	Yes	No	_____
Submission (public)	Yes	No	_____
Supplying new partners for Dom	Yes	No	_____
Suspension (horizontal)	Yes	No	_____
Suspension (inverted)	Yes	No	_____
Suspension partially touching floor (on toes)	Yes	No	_____
Suspension (upright)	Yes	No	_____
Suspension by hook	Yes	No	_____
Swallowing Feces	Yes	No	_____
Swallowing Semen	Yes	No	_____
Swallowing Urine	Yes	No	_____
Swapping (w/ multiple couples)	Yes	No	_____
Swapping (w/ one couple)	Yes	No	_____
Swinging	Yes	No	_____
Switching	Yes	No	_____
Tampon Training (inserted in anus)	Yes	No	_____
Tantra – Tantric and Taoist Sex	Yes	No	_____
Tattoos (henna/temp)	Yes	No	_____
Tattoos (permanent)	Yes	No	_____
Teasing	Yes	No	_____
Temperature Play	Yes	No	_____
TENS unit (electrical toy)	Yes	No	_____
The Humbler	Yes	No	_____
The Zipper	Yes	No	_____
Threesome (group sex, Ménage a Trois)	Yes	No	_____
Thumb Bondage	Yes	No	_____
Thumb Cuffs	Yes	No	_____
Tickling	Yes	No	_____
Toe Sucking	Yes	No	_____
Top/bottom	Yes	No	_____
Topping from the bottom	Yes	No	_____
Total Power Exchange	Yes	No	_____
Triple Penetration (dildo)	Yes	No	_____
Triple Penetration (multiple partners)	Yes	No	_____
24/7	Yes	No	_____
Urethral Sounds (metal rods)	Yes	No	_____
Uniforms	Yes	No	_____
Upskirt, Stockings, Nylons, Pantyhose Fetish	Yes	No	_____
Urethral Play	Yes	No	_____
Use of non-verbal Safe words	Yes	No	_____
Use of Safe Words	Yes	No	_____
Vacuum Body Bag/Vacuum Bondage Bed	Yes	No	_____
Vaginal intercourse	Yes	No	_____
Verbal Abuse	Yes	No	_____
Verbal Humiliation	Yes	No	_____
Vibrator (external)	Yes	No	_____
Vibrator (internal)	Yes	No	_____
Video Porn/BDSM watching	Yes	No	_____
Video (recordings of you)	Yes	No	_____
Video Taped Scenes	Yes	No	_____
Violet Wand	Yes	No	_____
Voyeurism (watching partner with others)	Yes	No	_____
Water Sports	Yes	No	_____
Water Torture	Yes	No	_____
Wax Hair Removal	Yes	No	_____
Wax Play	Yes	No	_____
Wear Rubber/Latex Clothing	Yes	No	_____
Wearing Boots	Yes	No	_____
Wearing High Heels	Yes	No	_____
Wearing Uniforms (Military, Fireman, Police, Sport, Nazi, etc.)	Yes	No	_____
Wearing Symbolic Jewelry	Yes	No	_____
Weight Gain (enforced)	Yes	No	_____
Weight Loss (enforced)	Yes	No	_____
Whipping	Yes	No	_____
Wooden Paddles	Yes	No	_____
Wrestling (other subs)	Yes	No	_____
Wrestling (your partner)	Yes	No	_____
Wrestling Females	Yes	No	_____
Wrestling Males	Yes	No	_____
Zooerasty (sexual intercourse with animals)	Yes	No	_____
Zoophilia (Sexual enjoyment stroking/fondling of animals)	Yes	No	_____