Basic information
Name/ Nick
E-mail address
Phone number
Gender
Age
Body weight
Shoes size
Experience
Describe your experience in BDSM in general and Femdom in particular
Pain
Do you take pleasure in pain?
Do you have an erection under the influence of pain?
Are bruises and marks permissible?
Where can you have bruises and marks?
Do you rely entirely on the Lady for the course of the session?
If you want to have an impact on the course of the meeting, to what extent
Are you interested in "nipple tiring"
Oral-anal practices
Are you interested in the strapon?
List what other anal practices you are interested in
Are you interested in erection control?
Electrostimulation
Are you interested in electrostimulation?
Do you have experience in electrostimulation?
What parts of the body do you allow electricity to be used for?
Breathing control
Are you interested in being choked or restricted in breathing
Do you have any experience of smothering?
Are you interested in facesitting?
Immobilization, sensory deprivation
Are you interested in immobilization?
If so, in what way? (e.g. cords, handcuffs, chains)
Are you interested in incarceration, isolation and how?
How long would you like to be restrained or imprisoned?
Would you like to be deprived of your senses (seeing, hearing, being able to speak)?
Do you have other comments regarding immobilization, imprisonment, and deprivation of your senses?
Are you interested in bondage?
Are you interested in mummification?
Do you have any experience with bondage suspension?
Other people
Do you allow another person to participate in the session?
What do you think the role of another person could be?
Do you have any bisexual tendencies?
Would you like to have oral or anal intercourse with another submissive man?
Home service
Are you interested in home service ?
If so, to what extent?
Feminization
Are you interested in feminization?
Do you have experience with feminization?
Feminization under duress or voluntary?
Are you interested in learning female movements and behavior?
Do you permit makeup and to what extent?
Do you have your outfits, shoes and cosmetics?
Fetishes
Do you have any fetishes? If so, describe them
Public domination
Are you interested in public domination?
Do you have any experience with public domination?
What does public domination mean to you? Give examples
Health
Do you have any health problems, especially those related to your back or knees?
Are you taking any medications on a permanent basis?
Do you have heart or circulatory problems?
Security password
Do you want to set a security password that will interrupt the meeting?
Photographs, films
Do you want to take part in a photo or film session, the results of which will be published?
Other
Do you have any other comments or would you like to write something?
Have you ever been trampled on? If so, where?
Are you interested in playing with wax?
Where on your body do you allow wax play?
Send a questionnaire
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