Application Form n Kinklist

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Application Form

Name:

Sub/Slave Name:

Date of Birth:

Sex and Sexual orientation:

E-Mail Address:

Are you responding from a website (Collar Me…) username?

Height in Feet/Inches:

Weight in lbs.:

Experience (Novice/ Intermediate/ Experienced)?:

Domination desired (Distance/ Live sessions/ Chastity)?

Describe any specific fantasies and or fetishes you have:

How do you identify Yourself (Fetishist/ Pain Slut/ Cross-Dresser/ Submissive Slave)?

What style do you prefer, or would like to experience (Whatever Goddess Desires/ Strict Discipline/ Sadistically Wicked/ Sensually Alluring)?

Relationship Status (This will remain confidential!) Single/ In Relationship/ Married or Domestic Partnership?

If in a relationship, is your partner aware of your pursuit of the BDSM activities?

What type of relationships are you currently in? (Vanilla, Master/slave, Domme/sub, 24/7, or occasional)

Are you already serving another Dom/Domme?

Medical Information:

Do you have any of the following: Latex Allergy/ Heart Condition/ Diabetes/ Asthma/ Joint Problems?

List and explain any other medical, physical or emotional limitations:
(Such as allergies, chronic conditions, traumas, phobias, past breaks, sports injuries etc.)

What, if any, medications are you currently taking? (Prescription and/or non-prescription)

Do you smoke?

Do you drink?

Do you use any recreational drugs? (If you smoke pot on a daily basis I need to know)

Occupation: (Full/ Part/ Home and Occupation Description)

Availability: (Full/ Part/ Occasionally)

Dates & Times You Would Like me to Consider? BE SPECIFIC about DATES & TIME of DAY. My schedule is often very full so listing a couple of choices will help ensure your chances.

Kink List

Here's how to use this checklist. For each question below just put a number from one to six (1-6) in the box to indicate your response based on this scale:

1. This is something I really do like/want.
2. This is fun, I like this.
3. I'm not sure, let's try it out.
4. I'm not really into this, but if it turns my partner on I don't object.
5. This will turn me off, I don't like this.
6. This is an absolute no go.

Take your time for this and consider each question, situation or indication carefully before answering.

Are there any specific types of people that turn you on?

Soldiers, marines, paratroopers
Sailors, coast guard, merchant marine
Pilots
Policewomen, security people
Truck drivers
Firewomen
Executioners
Nurses, doctors
Prostitutes, tramps
Hunters
Wrestlers
Surfers, life guards
Motorcycle people, Hells Angels
Cowgirls, farm girls
Ladies, nobility
Business people, yuppies, managers
Servants
Teachers
Mommy, aunt
Others, please specify:

Which of the following scenes would turn you on?

I am punished and put in a closet

Having a romantic dinner by candlelight
I am spanked because I have been naughty
I am in the woods and I am suddenly grabbed from behind
I am caught by a stranger while playing with myself
My partner and I are making love in a public place
I am sold on a slave market

I am used as a slave in public
I am used as a slave in private
I am ordered to please others
I am a little schoolgirl/boy
I am sitting/kneeling at my Mistress's feet
I am tied and teased
I am grabbed by the hair and dragged into the bedroom
I am used as a dog, pony or pet
I am verbally humiliated
I am tied, gagged and blindfolded and ignored
I am tied, gagged, blindfolded and thoroughly whipped
My physical limits are tested and stretched
My mental limits are tested and stretched
I have to sign a contract
I am a total slave every day of the week
Others, please specify:

Is there any particular clothing or fabric that turns you on?

Leather
Rubber, latex
Patent leather, PVC
Sexy lingerie

Uniforms
Denim
High Heels
Boots
Wet suits
Servants uniform
Masks
Others, please specify:

I enjoy the following psychodrama's:

Domme talks, the sub is silent or speaks only when spoken to
Dialogue in normal language
Dialogue in adapted language ("Mistress" and "slave")
Obey rules or else
Reasonable rules
Unreasonable rules
It is OK for the Domme to loose her temper
Swearing and filthy talk
Military/jail type commands
Strict training
Obvious and explicit role play
Subtle role play
I like to be persuaded, rather than commanded
Make me feel guilty
Make me feel cheap
Make me feel used
Make me feel owned
Make me feel useless
Objectify me
The Domme must have compassion
The Domme must have no compassion at all
The Domme must only have compassion after the scene
Others, please specify:

I love the following attributes

Ropes
Leather cuffs and belts
Steel cuffs and chains
Blindfold
Gags
Masks
Nipple clamps and clothespins
Whips

Riding crops
Canes
Silk to be tied with
Sex toys (vibrators, butt plugs)
Bondage table

Electrical stimulation
others, please specify:

The following scenes appeal to me:

Being tied up, caressed and loved
Being in a public place and dominated in a subtle way
Being taken out with collar and leash
Being locked up and ignored
Being tied up in a comfortable position

Being tied up in discomfort
Being tied up and (in a sexual way) exposed
Being tied up and tickled
Being tied up and (sexually) teased
Being tied up and whipped, flogged or caned
Being verbally commanded into certain positions and maintaining them (not tied up)
Caned, flogged or whipped without being tied or cuffed
Being spanked in the traditional way
Used as a servant
Being tied and tortured
Being tortured without being tied or cuffed
Being used by more than one domme/dom
Playing in combination with other subs/couples
others, please specify:

If you want to feel painful pleasure, where on your body do you like it?

What are your Pet Peeves? (Don’t be shy, we all have them)

Do you want marks to be left after the play session? (I can be gentle or firm depending on your needs)

What are your Hard Limits?