BDSM Checklist
The checklist below is a way for your Dom to get to know you better. Fill out the form so you and your Dom can have an active discussion.
For each item, you need to provide two answers:
- For experience, write YES or NO next to each item to indicate if you have ever DONE that activity.
- For willingness, indicate for each item how you feel about DOING that activity by rating it on a scale of NO or 0 to 5.
- "?" means you don't understand what the item is attempting to describe.
- NO means you will NOT do that item under any circumstances (a hard limit).
- 0 (zero) indicates you have utterly no desire to do that activity and don't like doing it (in fact, may loath it) and would ordinarily object to doing it, but you would permit Officer Wes to do it if it He really wanted it (sometimes called a "soft limit").
- 1 means you don't want to do or like to do this activity, but wouldn't object if it was asked of you.
- 2 means you are willing to do this activity, but it has no special appeal for you.
- 3 means you usually like doing this activity, at least on an irregular/ occasional basis.
- 4 means you like doing this activity, and would like to experience it on a regular basis.
- 5 means the activity 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 to know in the margin to the right. For example, under "uniforms" you might have a different fetish for military versus police
Activity Experience (yes/no) Willingness (NO or 0-5) Notes Abrasion Anal sex (bottom) Anal sex (top) Animal roles (puppy, pony, etc.)
Arm & leg sleeves (armbinders)
Auctioned for charity
Ball stretchers
Ball torture
Bathroom use control
Beating (soft)
Beating (hard)
Being bitten
Bestiality
Blindfolds
Blowjobs (giving)
Blowjobs (recieving)
Body worship
Bondage (light)
Bondage (heavy)
Bondage (while sleeping)
Bondage (multi-day)
Bondage (public, under clothing)
Boot worship
Branding If there is a required branding, describe any objection to this procedure. Also, describe any current brandings.
Breath control
Buttplugs (small)
Buttplugs (large)
Buttplug (public, clothed)
Cages
Caning
Castration fantasy
Catheterization
Cattle prod
Chains
Chastity
Chastity belts
Chauffeuring
Choking
Chores (domestic service)
Clothespins
Clothing restrictions (having clothes chosen for you)
Cock rings/straps
Cock torture
Cock worship
Collars (worn in private)
Collars (worn in public)
Cowboys
Cuttings
Dildos
Domestic service
Electricity (TENS-based)
Electricity (violet wand)
Enemas (for cleansing)
Enemas (retention/punishment)
Examinations (physical)
Exercise (forced/required)
Exhibitionism (friends)
Exhibitionism (strangers)
Eye contact restrictions
Fire play
Fisting
Flat-top or other haircuts (specify)
Flogging
Following orders
Food (having it chosen for you)
Foot worship
Forced masturbation
Forced nudity (private)
Forced nudity (around others)
Forced servitude
Gags (cloth)
Gags (horse-style mouth bit)
Gags (inflatable)
Gags (phallic)
Gags (rubber)
Gags (tape)
Gas masks
Gates of Hell
Given away to another Top (temporarily)
Given away to another Top (permanently)
Glove play (crotch)
Glove play (mouth)
Group scenes (play parties)
Hand jobs (giving)
Hand jobs (receiving)
Handcuffs (leather)
Handcuffs (metal)
Harnesses (leather)
Harnesses (rope)
Hoods
Housework (doing)
Humiliation (private)
Humiliation (public)
Ice cubes
Immobilization
Initiation rites
Interrogations
Kidnapping
Kneeling
Knife play
Latex clothing
Leather clothing
Leather restraints
Manacles & irons
Marks / bruises (temporary / just for a few hours)
Marks / bruises (that might last more than a few hours)
Massage (giving)
Massage (receiving)
Medical scenes
Military scenes (Army, Air Force, Navy, Marines) (specify)
Modeling for erotic photos
Motorcycles
Mummification
Nipple clamps
Nipple rings (piercings)
Nipple play/"torture"
Nipple weights
Outdoor scenes
Outdoor sex
Pain (mild)
Pain (severe)
Phone sex
Piercing (temporary)
Piercing (permanent) If there is a required piercing, describe any objections to this procedure. Also, describe any current piercings.
Prison scenes
Punishment scene
Rape fantasy
Rape (gang-style) fantasy
Religious scenes
Restrictive rules on behavior
Riding crops
Rimming (giving) Rimming (receiving)
Rituals
Rubber (neoprene) clothing -- see also latex
Saline injections in balls
Scarification
Scat (brown showers)
Scent worship (man musk & man smell in armpits for example)
Scratching - getting
Sensory deprivation
Service / serving
Serving as art
Serving as a housekeeper
Serving as a waiter
Serving other Tops (supervised)
Serving other Tops (unsupervised)
Sex
Sexual deprivation / chastity (short term)
Sexual deprivation / chastity (long term)
Shaving (body hair)
Shaving (head hair)
Skinny-dipping
Sleep deprivation
Sleepsacks
Sounds (metal urethral rods)
Spandex clothing
Spanking
Spanking (over-the-knee)
Speech restrictions (when, what)
Speculums (anal)
Spitting
Spreader bars
Standing in corner
Stocks
Straight jackets
Strapping (full body beating)
Sucking dick (blowing)
Sucking dick (getting blown)
Suspension (upright)
Suspension (horizontal)
Suspension (inverted)
Swallowing cum If yes, describe circumstance, frequency, and current preference.
Tattooing
Teasing
Thumbcuffs (metal)
Tickling
Tongue bath / tongue worship
Trucks / sleeper cabs
Uniforms (specify)
Verbal humiliation
Violet wand (electrical device)
Voyeurism (watching others)
Video (watching others)
Video (recordings of you)
Water sports (external)
Water sports (swallowing piss)
Water sports (anal) Wax (hot, dripping)
Wearing symbolic jewelry
Whipping
Wooden paddles
Wrestling
Many thanks to Officer Wes' website. www.westom.com. from which this list originated. The original list is from the Tammad Rimilia, creator of his Submissive BDSM Play Partner Check List.