This form allows you (the submissive/slave/bottom to list what experience you have had, rate your willingness of each bdsm activity and note any nuances or comments you wish to make. Simply print it out and then fill it out for your Dom/Master/Top.

This checklist is be filled out by a submissive/slave/bottom and provided to their Dom/Master/Top before playing with them. This will provide a starting place to identify limits, negotiate consensual play and find common ground for play. Dominants may wish to work through the checklist, to get a better handle on their specific interests. Switches should go through the checklist twice; one persons Dom and Sub interests may be very different.

For each item, you need to provide two answers:

Experience

Have you had real time experience with the activity?
Indicate YES or NO next to each item. Write N/A if it does not apply to your gender.

Willingness

Are you willing/open to try an activity?

For each item, indicate the degree to which you are willing to try that particular activity by rating it on a scale of NO or 0-5 (see rating scale below).

If you write “NO”, it means you will not do that item under any circumstance (a hard limit). There is nothing wrong with indicating “no” on an item. However, if you write “NO” next to almost every item, you should probably find another interest to pursue.

If you do not understand what an activity is, mark that item with a “?”.

Mark with an asterisk (*) those items which you are willing to do only with your current sex partner(s), but not with casual play partners

Rating Scale

0 – Utterly no desire to do that activity and don’t like doing it (in fact, may loath it) and ordinarily would object to doing it, but you would permit the Dominant to do it if they really wanted it (sometimes called a soft limit)

1 – Don’t want to do or like to do this activity, but wouldn’t object it if was asked of you

2 – Willing to do this activity, but it has no special appeal for you

3 – Usually like doing this activity, at least on an irregular/occasional basis

4 – You like doing this activity and would like to experience it on a regular basis

5 – 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 Dom/Master/Top to know in the comments section.

There is intentionally some overlap between categories. Unless otherwise stated, the submissive/slave/bottom is the recipient/target of the activity.