First Name
*
Blindfolds -- done it before?
*
Yes
No
Biting -- done it before?
*
Yes
No
Bondage Play -- done it before?
*
Yes
No
Sensation Play -- done it before?
*
Yes
No
Sensory Deprivation -- done it before?
*
Yes
No
Spanking -- done it before?
*
Yes
No
Role Play -- done it before?
*
Yes
No
Talking dirty -- done it before?
*
Yes
No
Tease and denial -- done it before?
*
Yes
No
Vibrators -- done it before?
*
Yes
No
Predicament Play -- done it before?
*
Yes
No
Flogging -- done it before?
*
Yes
No
Rituals/intiation rites -- done it before?
*
Yes
No
Breath control/breath play -- done it before?
*
Yes
No
Cock and Ball Torture (CBT) -- done it before?
*
Yes
No
Massage lingam -- done it before?
*
Yes
No
Massage prostate -- done it before?
*
Yes
No
Strap on play -- done it before?
*
Yes
No
Reward/punishment system -- done it before?
*
Yes
No
Receiving body worship -- done it before?
*
Yes
No
Nipple torture -- done it before?
*
Yes
No
Chastity devices -- done it before?
*
Yes
No
Verbal humiliation/chastising -- done it before?
*
Yes
No
Feminization -- done it before?
*
Yes
No
Are there any harsher/more severe elements of BDSM/kink that you have tried before, enjoyed, or are interested in?
*
1. My experience level in BDSM/kink is:
*
2. Elements of the Dark Feminine/Domme Archetypes that I am most intrigued in exploring (examples: stern, strict, warm and nurturing, quiet, cold, sadistic, Mother/Mommy, Sensual/Seductive, Tantric/Spiritual, innocent/playful, Shamanic)
*
3. My fashion preferences, in any, as exploring my Inner Domme are (examples: boots, lingerie, athleisure, heels, leather, latex, vinyl, lace, business suit, priestess/Goddess wear, other):
*
4. I am most interested in learning about:
*
5. (Yes/No) I would like to experience a private or semi-private session as a Domme with a male submissive and try these activities.
*
Yes
No
6. (Yes/No) I would like to experience a private or semi-private session as a submissive with a male Dom and try these activities.
*
Yes
No
Anything else that you would like to add?