Part 3 Activities
Now we get to see what things you want to experience in a session with me. Please
check off any items below that interest you.
Do you have any particular fetish desires?
Body Hair
Body parts
Denim
Feet
Lace
Latex
Leather
Medical Fetish Play (If this is a strong interest see NurseNasty.net )
Religious (Nun/priest play)
Retifism (shoes or boots)
Rubber
Scents / smell (what kind?)
Other or more detail to above choices:
Age Play:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Diaper Fantasies
Depilation (shaving)
Parent /child fantasies
Student /teacher fantasies
How old would you wish to be?
Want to briefly describe a fantasy scene or share some thoughts?
Anal & Dildo Play:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Dildo
Fingers
Fisting
Forced Oral (on Strap-on)
Rape / Gang Bang fantasies
Strap-on
Vibrator
Want to briefly describe a fantasy scene or share any thoughts?
Asphyxiaphilia & Breath play):
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Lightly restrictive
Moderate restriction
Heavily restrictive
Carotid Pressure
Devices that Restrict (gas mask, hoods, gags etc)
Noose & Hanging Play (strangling and carotid pressure)
Hoods/gags
Re-breathers (bagging or slow O2 deprivation)
Smothering (hand smothering, queening etc)
Suffocation
Want to briefly describe a fantasy scene or share any thoughts?
Bondage:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Lightly restrictive
Moderate restriction
Heavily restrictive
Body Bag or Sleep Sack
Caging
Chains & Steel Cuffs
Other Steel Restraints (pillory / kneeling or standing stocks etc)
Chastity devices
Cling wrap / tape
Mummification (Cling wrap or bondage tape)
Leather Bonds
Predicament Bondage
Rope Bondage
Straight Jacket
Suspension
Vacuum Bed / Cube
Want to briefly describe a fantasy scene or share any thoughts?
Genital Torture (CBT & Pussy torture):
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Light activity
Moderate activity
Heavy activity
Abrasion
Ball Busting
Genital Bondage
Clamps, clips, clothespins
Pressure
Sounds (Urethral)
Weights
Want to briefly describe a fantasy scene or share any thoughts?
Electro Torture:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Internal PSE Unit
Tens Unit
Violet Wand
Cattle Prod
Want to briefly describe a fantasy scene or share any thoughts?
Feminization / Cross dressing / Transvestism:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Have clothes I can bring (describe)
Have no clothes of my own, hope to borrow some. (I do not promise to fit everyone) List sizes:
Public shopping trips
Maid service /training
Sissy slut training
Want to briefly describe a fantasy scene or share any thoughts?
Foot & leg worship:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Would like some in the scene, but none main focus
Wants moderate amount in the scene
My main interest in the scene
Altocalciphilia (love of high heels)
Bare feet
Boots
Enjoys kissing, licking feet and legs
Gives a good foot massage
Stocking feet
Pantyhose
Trampling
Wish to learn to give a pedicure
Want to briefly describe a fantasy scene or share any thoughts?
Heat & Fire Play:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Alcohol lighting
Branding
Candle wax
Burning incense torture
Want to briefly describe a fantasy scene or share any thoughts?
Humiliation:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Mild level
Moderate level
Heavy level
Being spit on
Collar & Leash
Crawling
Face slapping
Feminization
Hair Pulling
Kneeling
Public Display
Used as an object (table, foot rest, ashtray etc)
Verbal Degradation
Want to briefly describe a fantasy scene or share any thoughts?
Hypnosis:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
My interest is in:
Theraputic Hypnosis (Lose weight, quit smoking, etc.)
Erotic Hypnosis (Guided fantasy, playful mind control, etc.)
Briefly describe a fantasy scene or share any thoughts
Nipple Torture:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Light activity
Moderate activity
Heavy activity
Abrasion
Breast torture/ nipple bondage
Clamps / Clothespins
Nibbling / Biting
Stretching
Weights
Want to briefly describe a fantasy scene or share any thoughts?
Corporal / Percussion / Impact Play:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Light activity
Moderate activity
Heavy activity
Spanking
Floggers
Whips (single tails)
Paddles
OTK (over the knee)
Canes
Crops
Other:
Sensations that I enjoy or think that I may enjoy most:
Thuddy/Thumpy
Stingy/Sharp
Combinations or variety of sensations
Materials I enjoy or think I would enjoy:
Deerskin
Leather
Nylon
Rattan
Rubber
Synthetics
Wood
Corporal play comment or fantasy:
Enforced Chastity:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Short Term (on-site duration of session only)
Longer Term (off-site informal negotiated durations)
Contractual Keyholding (off-site formal contractual durations)
Have my Own Device that I will bring with me
Which Type?
Want to briefly describe fantasy scene or share any thoughts?
Piercing / Suturing/ Cutting:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Acucullophallia (being cut)
Beading (body adornment)
Blood Play
Lacing(wrapping string around the needles for bondage)
Suturing
Temporary Piercing
Have permanent piercings (list)
Want to briefly describe a fantasy scene or share any thoughts?
Role play:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
How important is role play to your ideal scene?
Very important
Somewhat important
Not at all important
What roles are you interested in?
Roles you wish me to play:
Want to briefly describe a fantasy scene or share any thoughts?
Sensation Play:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Cupping (suction of the skin)
Feathers
Fur
Ice
Light /soft flogging
Mild abrasion /scratching
Tickle torture
Want to briefly describe a fantasy scene or share any thoughts?
Sensory Deprivation:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
Audio/Video Stimulation
Blindfolds
Ear Plugs/headphones
Gags
Gas Masks
Hoods
Long periods of bondage
Want to briefly describe a fantasy scene or share any thoughts?
Miscellaneous:
--Please Select--
Not Interested
Somewhat curious
Very curious
Like somewhat
Like it alot
Love it
24/7 (Total Power Exchange)
Algolagnia (love of pain)
Autoerotica (masturbation)
Dacryphilia (arousal from tears)
Exhibitionism
Other:
Want to briefly describe a fantasy scene or share some thoughts?
Part 4 Final Section
Referral and Web site commentary: How did you hear about me? Where did you find my web link etc? (Domme board, banner link other?)
Any comments or suggestions about the web site? Ease of navigation, ambiance, loading speed, picture quality etc?
Please read this last bit and initial the bottom.
"I understand that the answers to this questionnaire are to be used only to plan a consentual BDSM session. My limits
will be respected and I may stop the scene at any time I wish. I understand that the Mistress is a skilled professional and that care and caution is taken to insure my safety, but I acknowledge that
there is inherent risk to BDSM play. I further understand that there will be NO sex of any kind, NO illegal
activities permitted, and NO nudity on the part of the Mistress." Initials:
Finally, did thinking about and picturing all of these things while filling out the form excite you
just a little?
(Any last words?)
OK great and thank you for your efforts! Once you hit "Submit the completed form will be emailed to me at Mistress@SxySadist.com .
I should respond to you within 48 hours with more information or further instructions. If however
I do not it may mean I am away for a few days. I answer all email that I receive one way or the other.
If you do not hear from me within 72 hours you may wish to send a follow up email in case your email
was lost in cyber space. Best Wishes!! SxySadist