A Submissive's BDSM Checklist - Part 3 (of 4)

Basic philosophy of SSC (= Safe Sane Consensual) underlies all negotiations.

Answer all that may apply to you. If something does not apply to you just leave it blank. Indicate the one's you know roughly the answers to as to you willingness and arousal and need. If you are unsure either leave it blank or enter a comment or "?". This serves as a quick way to initial negotiations between subbie and dom/me.
DONE IT: tick which activities you have done before
WILLINGNESS:
- 0 is a hardlimit,meaning you will not submit to this at all (at least as far as you know at this time)
- 1 is a soft limit, which means that you may be able to be convinced to submit to the activity
- 2 means you will submit, probably reluctantly, you may need restraint, and require further convincing to cooperate
- 3 means will submit without question (...mostly)
AROUSAL : '-' means a turn off, 0 is zero arousal one way or the other, '+' means this activity arouses you
BDSM NEED/WANT: 0 means it does nothing for you, 1 means it satisfies a bdsm need/want, 2 means it satisfies a bdsm need/want to a high degree.

Name of submissive

Email

FETISH

Done it
(tick)
Willingness
(0 1 2 3)
Arousal
(- 0 +)
BDSM Need
(0 1 2)
Care to specify any upper limits?
and/or further comments
Acrophilia - arousal from heights
Acrotomophilia - sex with amputees
Agalmatophilia - sex with statues
Altocalciphilia - high heel fetish
Beastiality
Asphyxiation
Barosmia - arousal from smell
Bathroom use control
Bed wetting - forced
Boot worship
Breath Control
Chamber-pot use
Choking
Cross Dressing
Crucifixion
Dacryphilia - arousal from tears
Dendrophilia - attraction to trees
Diapers - wearing
Diapers - wetting
Diapers - soiling
Dirty sex, mud/dirt/oil
Dirty words
Electrical toys
Erotic dancing
Face slapping
Fantasy abandonement
Fantasy castration
Gun Play
Fantasy rape
Fantasy gang rape
Fear - being scared
Feathers and fur
Faeces - eating
Faeces - playing with
Faeces - scat
Fisting - anal
Fisting - vaginal
Golden Showers
Infantilism
Outdoor scenes
Outdoor sex
Public exposure
Rubber/Latex clothing
Slut clothing - private
Slut clothing - public
Spandex clothing
Swallowing urine
Tattooing
TENS unit
Urethral sounds - metal rods
Video recordings of you
Video - watching others
Violet Wands
Voyeurism - watching others
Voyeurism - your Dom/me with others

MEDICAL

Done it
(tick)
Willingness
(0 1 2 3)
Arousal
(- 0 +)
BDSM Need
(0 1 2)
Care to specify any upper limits?
and/or further comments
Injections
Catheterization
Douching
Enemas for cleansing
Enemas - retention /punishment
Medical examinations/physical
Medical instruments
Medical scene - other
Nasogastric tube - use of
Nasophilia - arousal from nose
Needles
Speculums - anal
Speculums - vaginal

Further Comments Please