Appendix A

09/18/2015

Questioner
Rating NO = sub is not willing to do this Activity under any Circumstances (Hard Limit)
Rating 0 = sub has no desire to do this Activity and does not like it, but is willing (Soft Limit)
Rating 1 = sub does not want to do this Activity, but will not object if it is asked of her
Rating 2 = sub is willing to do this activity, but it has no special appeal to the sub
Rating 3 = sub usually likes doing this Activity, at least on an irregular/occasional basis
Rating 4 = sub Likes doing this Activity and would like to experience it on a regular basis
Rating 5 = sub is wildly turned-on by this Activity and would like it as often as possible.
Items Marked with an Asterix "*" are items only to be done with or by Master
sub has done ( YES/NO )
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

Action
Abrasion
Adult Nursing
Anal sex
Anilingus - Giving Female
Anilingus - Giving Male
Anilingus - Receiving
Asphyxiation
Auctioned for charity
Bathroom use control
Begging from the Master
Begging from the Master's friends
Being serviced (sexual)
Bondage - Arm Sleeves (Arm binders)
Bondage - Bondage w/ another Sub
Bondage - Breast Bondage
Bondage - Breast/chest bondage
Bondage - Cages (locked inside of)

Rating ( NO thru 5 or NA )

Extra Instructions

Appendix A

09/18/2015

Rating NO = sub is not willing to do this Activity under any Circumstances (Hard Limit)
Rating 0 = sub has no desire to do this Activity and does not like it, but is willing (Soft Limit)
Rating 1 = sub does not want to do this Activity, but will not object if it is asked of her
Rating 2 = sub is willing to do this activity, but it has no special appeal to the sub
Rating 3 = sub usually likes doing this Activity, at least on an irregular/occasional basis
Rating 4 = sub Likes doing this Activity and would like to experience it on a regular basis
Rating 5 = sub is wildly turned-on by this Activity and would like it as often as possible.
Items Marked with an Asterix "*" are items only to be done with or by Master
sub has done ( YES/NO )
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37

Action
Bondage - Wall Hooks
Bondage - Chains
Bondage - Closets (locked inside of)
Bondage - Cotton Rope
Bondage - Crosses
Bondage - Cuffs (leather)
Bondage - Cuffs (metal)
Bondage - Duration - 1 to 3 Hours
Bondage - Duration - 3 to 6 Hours
Bondage - Duration - Overnight
Bondage - Duration (multi-day)
Bondage - Eye Coverings - Blindfolds
Bondage - Eye Coverings - Full hoods
Bondage - Eye Coverings - Hoods
Bondage - Eye Coverings Masks
Bondage - Genital Bondage
Bondage - Harnessing (leather)
Bondage - Harnessing (rope)
Bondage - Intricate (Japanese) rope
Bondage - Leather Bonds

Rating ( NO thru 5 or NA )

Extra Instructions

Appendix A

09/18/2015

Rating NO = sub is not willing to do this Activity under any Circumstances (Hard Limit)
Rating 0 = sub has no desire to do this Activity and does not like it, but is willing (Soft Limit)
Rating 1 = sub does not want to do this Activity, but will not object if it is asked of her
Rating 2 = sub is willing to do this activity, but it has no special appeal to the sub
Rating 3 = sub usually likes doing this Activity, at least on an irregular/occasional basis
Rating 4 = sub Likes doing this Activity and would like to experience it on a regular basis
Rating 5 = sub is wildly turned-on by this Activity and would like it as often as possible.
Items Marked with an Asterix "*" are items only to be done with or by Master
sub has done ( YES/NO )
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57

Action
Bondage - Leather restraints
Bondage - Leg sleeves
Bondage - Locations - Indoor Setting
Bondage - Locations - Outdoor Setting
Bondage - Locations - Private Setting
Bondage - Locations - Public Setting
Bondage - Locations - Semi-Public Setting
Bondage - Locations (public, under clothes)
Bondage - Manacles & Irons
Bondage - Nylon Rope
Bondage - Pillory
Bondage - Plastic Wrap
Bondage - Rope body harness
Bondage - Silk Scarves
Bondage - Slings/Swings
Bondage - Spandex Bonds
Bondage - Spreader Bars
Bondage - Steel Shackles
Bondage - Stocks
Bondage - Straight jackets

Rating ( NO thru 5 or NA )

Extra Instructions

Appendix A

09/18/2015

Rating NO = sub is not willing to do this Activity under any Circumstances (Hard Limit)
Rating 0 = sub has no desire to do this Activity and does not like it, but is willing (Soft Limit)
Rating 1 = sub does not want to do this Activity, but will not object if it is asked of her
Rating 2 = sub is willing to do this activity, but it has no special appeal to the sub
Rating 3 = sub usually likes doing this Activity, at least on an irregular/occasional basis
Rating 4 = sub Likes doing this Activity and would like to experience it on a regular basis
Rating 5 = sub is wildly turned-on by this Activity and would like it as often as possible.
Items Marked with an Asterix "*" are items only to be done with or by Master
sub has done ( YES/NO )
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77

Action
Bondage - Suspension (horizontal)
Bondage - Suspension (inverted)
Bondage - Suspension (upright)
Bondage - Suspension, Full
Bondage - Suspension, on Flat Feet
Bondage (heavy)
Bondage (light)
Boot worship
Breath control
Chastity Belt
Chaueffering
Choking Playful
Clothespins
Cock worship
Collars (worn in private)
Collars (worn in public)
Costumes
Costumes - Boots
Costumes - Corsets/Cinches
Costumes - Feathers/Fur

Rating ( NO thru 5 or NA )

Extra Instructions

Appendix A

09/18/2015

Rating NO = sub is not willing to do this Activity under any Circumstances (Hard Limit)
Rating 0 = sub has no desire to do this Activity and does not like it, but is willing (Soft Limit)
Rating 1 = sub does not want to do this Activity, but will not object if it is asked of her
Rating 2 = sub is willing to do this activity, but it has no special appeal to the sub
Rating 3 = sub usually likes doing this Activity, at least on an irregular/occasional basis
Rating 4 = sub Likes doing this Activity and would like to experience it on a regular basis
Rating 5 = sub is wildly turned-on by this Activity and would like it as often as possible.
Items Marked with an Asterix "*" are items only to be done with or by Master
sub has done ( YES/NO )
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97

Action
Costumes - French Maid
Costumes - Garters/Stockings
Costumes - Harem Girl
Costumes - High Heels
Costumes - Innocent Dress
Costumes - Leather clothing
Costumes - Lingerie
Costumes - Prim and Proper
Costumes - Rubber/Latex
Costumes - Rubber/latex clothing
Costumes - School Girl
Costumes - Slutty Dress
Costumes - Spandex
Costumes - Spandex clothing
Costumes - Ultra-Feminine
Costumes - Uniforms
Crawling at a Party
Crawling for the Master
Cunningulus With a stubbly Beard
Digital Sex

Rating ( NO thru 5 or NA )

Extra Instructions

Appendix A

09/18/2015

Rating NO = sub is not willing to do this Activity under any Circumstances (Hard Limit)
Rating 0 = sub has no desire to do this Activity and does not like it, but is willing (Soft Limit)
Rating 1 = sub does not want to do this Activity, but will not object if it is asked of her
Rating 2 = sub is willing to do this activity, but it has no special appeal to the sub
Rating 3 = sub usually likes doing this Activity, at least on an irregular/occasional basis
Rating 4 = sub Likes doing this Activity and would like to experience it on a regular basis
Rating 5 = sub is wildly turned-on by this Activity and would like it as often as possible.
Items Marked with an Asterix "*" are items only to be done with or by Master
sub has done ( YES/NO )
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117

Action
Directed Bisexuality
Directed Masturbation
Dirty Words to the Master
Dirty Words to the Master's Friends
Masterination
Enforced chastity
Examinations (physical)
Exercise (forced/required)
Exhibitionism (friends)
Exhibitionism (strangers)
Eye contact restrictions
Face Slapping
Fantasy - Abandonment
Fantasy - Gang-rape
Fantasy - Medical scenes
Fantasy - Prison scenes
Fantasy - Rape
Fisting - Anal
Fisting - Vaginal
Following orders of the Master

Rating ( NO thru 5 or NA )

Extra Instructions

Appendix A

09/18/2015

Rating NO = sub is not willing to do this Activity under any Circumstances (Hard Limit)
Rating 0 = sub has no desire to do this Activity and does not like it, but is willing (Soft Limit)
Rating 1 = sub does not want to do this Activity, but will not object if it is asked of her
Rating 2 = sub is willing to do this activity, but it has no special appeal to the sub
Rating 3 = sub usually likes doing this Activity, at least on an irregular/occasional basis
Rating 4 = sub Likes doing this Activity and would like to experience it on a regular basis
Rating 5 = sub is wildly turned-on by this Activity and would like it as often as possible.
Items Marked with an Asterix "*" are items only to be done with or by Master
sub has done ( YES/NO )
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137

Action
Following orders of the Master's friends
Foot Kissing
Foot Worship
Forced dressing
Forced masturbation
Forced nudity (around others)
Forced nudity (private)
Forced servitude
Gags - For Oral Punishment
Gags - For Sexual Use
Gags - Mouth bits
Gags - Penis Gags
Gags - Pump Types
Gags (cloth)
Gags (rubber)
Gags (tape)
Genital sex:
Genital Torture
Hair Pulling - Heavy
God/Goddess worship

Rating ( NO thru 5 or NA )

Extra Instructions

Appendix A

09/18/2015

Rating NO = sub is not willing to do this Activity under any Circumstances (Hard Limit)
Rating 0 = sub has no desire to do this Activity and does not like it, but is willing (Soft Limit)
Rating 1 = sub does not want to do this Activity, but will not object if it is asked of her
Rating 2 = sub is willing to do this activity, but it has no special appeal to the sub
Rating 3 = sub usually likes doing this Activity, at least on an irregular/occasional basis
Rating 4 = sub Likes doing this Activity and would like to experience it on a regular basis
Rating 5 = sub is wildly turned-on by this Activity and would like it as often as possible.
Items Marked with an Asterix "*" are items only to be done with or by Master
sub has done ( YES/NO )
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157

Action
Hair Pulling - Light
Hand jobs (giving)
Hand jobs (receiving)
Having clothing chosen for you
Having food chosen for you
Headphones/Earplugs
Heat and Ice
Homage with tongue Licking (non-sexual)
Hot Wax
Housework (doing)
Humiliation - Verbal humiliation
Humiliation (private)
Humiliation (public
Ice
Ice cubes
Initiation rites
Interrogations
Kidnapping
Kissing Mistress / Master
Kneeling - Friends

Rating ( NO thru 5 or NA )

Extra Instructions

Appendix A

09/18/2015

Rating NO = sub is not willing to do this Activity under any Circumstances (Hard Limit)
Rating 0 = sub has no desire to do this Activity and does not like it, but is willing (Soft Limit)
Rating 1 = sub does not want to do this Activity, but will not object if it is asked of her
Rating 2 = sub is willing to do this activity, but it has no special appeal to the sub
Rating 3 = sub usually likes doing this Activity, at least on an irregular/occasional basis
Rating 4 = sub Likes doing this Activity and would like to experience it on a regular basis
Rating 5 = sub is wildly turned-on by this Activity and would like it as often as possible.
Items Marked with an Asterix "*" are items only to be done with or by Master
sub has done ( YES/NO )
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177

Action
Kneeling - Master
Leash
Leash - Lead on a Leash
Leathers
Lectures for misbehavior
Locations - Outdoor scenes
Locations - Outdoor sex
Locations - Public Sex
Locations - Semi - Public Sex
Manacures (giving)
Manacures (receiving)
Massage (giving)
Massage (receiving)
Media - Modeling for erotic photos
Media - Photographs of Parties
Media - Video (recordings of you)
Media - Video (watching others)
Nipple Clamps/Clips
Oils, Lotions
Oral Sex - Fellatio

Rating ( NO thru 5 or NA )

Extra Instructions

Appendix A

09/18/2015

10

Rating NO = sub is not willing to do this Activity under any Circumstances (Hard Limit)
Rating 0 = sub has no desire to do this Activity and does not like it, but is willing (Soft Limit)
Rating 1 = sub does not want to do this Activity, but will not object if it is asked of her
Rating 2 = sub is willing to do this activity, but it has no special appeal to the sub
Rating 3 = sub usually likes doing this Activity, at least on an irregular/occasional basis
Rating 4 = sub Likes doing this Activity and would like to experience it on a regular basis
Rating 5 = sub is wildly turned-on by this Activity and would like it as often as possible.
Items Marked with an Asterix "*" are items only to be done with or by Master
sub has done ( YES/NO )
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197

Action
Oral Sex - Fellatio - Deep Throat
Oral Sex - Fellatio - Deep Throat Friends
Oral Sex Receiving Cunningulus
Orgasm control
Orgasm denial
Partners - Competitions (with other Subs)
Partners - Given to another Master (temp)
Partners - Groups
Partners - Harems (serving w/other subs)
Partners - Including others
Partners - Penetrations - Double
Partners - Penetrations - Triple
Partners - Penetrations Multiple 4+
Partners - Swapping (single couple)
Partners - Swinging (multiple couples)
Partners - Threesomes
Phone sex (serving Master)
Phone sex (serving Master's friends)
Piercing (permanant)
Pinching - Body

Rating ( NO thru 5 or NA )

Extra Instructions

Appendix A

09/18/2015

11

Rating NO = sub is not willing to do this Activity under any Circumstances (Hard Limit)
Rating 0 = sub has no desire to do this Activity and does not like it, but is willing (Soft Limit)
Rating 1 = sub does not want to do this Activity, but will not object if it is asked of her
Rating 2 = sub is willing to do this activity, but it has no special appeal to the sub
Rating 3 = sub usually likes doing this Activity, at least on an irregular/occasional basis
Rating 4 = sub Likes doing this Activity and would like to experience it on a regular basis
Rating 5 = sub is wildly turned-on by this Activity and would like it as often as possible.
Items Marked with an Asterix "*" are items only to be done with or by Master
sub has done ( YES/NO )
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217

Action
Pinching - Nipples
Pinching - Nipples while orgasming
Pony sub
Public Display
Public Embarrassment
Public exposure
Public Sex
Public Whipping
Pussy whipping
Pussy worship
Religious scenes
Restrictive rules on behavior
Rituals
roleplay- student/Teacher
roleplay- nephew/Aunt
roleplay- son/Mommy
Scratching - getting
Scratching - giving
Secret Sex in Public
Sensory deprivation

Rating ( NO thru 5 or NA )

Extra Instructions

Appendix A

09/18/2015

12

Rating NO = sub is not willing to do this Activity under any Circumstances (Hard Limit)
Rating 0 = sub has no desire to do this Activity and does not like it, but is willing (Soft Limit)
Rating 1 = sub does not want to do this Activity, but will not object if it is asked of her
Rating 2 = sub is willing to do this activity, but it has no special appeal to the sub
Rating 3 = sub usually likes doing this Activity, at least on an irregular/occasional basis
Rating 4 = sub Likes doing this Activity and would like to experience it on a regular basis
Rating 5 = sub is wildly turned-on by this Activity and would like it as often as possible.
Items Marked with an Asterix "*" are items only to be done with or by Master
sub has done ( YES/NO )
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237

Action
Serving
Serving as a maid
Serving as furniture
Serving as waitress/waiter
Serving orally (sexual)
Sexual Denial
Sexual deprivation (long term)
Sexual deprivation (short term)
Sexual Teasing
Shaving Vagina in front of Master
Shaving Vagina in front of others
Sleep deprivation
Slutty clothing (private)
Slutty clothing (public)
Small Penis Humiliation

Spanking
Spanking - Beating (hard)
Spanking - Beating (soft)
Spanking - Belt or Strap

Rating ( NO thru 5 or NA )

Extra Instructions

Appendix A

09/18/2015

13

Rating NO = sub is not willing to do this Activity under any Circumstances (Hard Limit)
Rating 0 = sub has no desire to do this Activity and does not like it, but is willing (Soft Limit)
Rating 1 = sub does not want to do this Activity, but will not object if it is asked of her
Rating 2 = sub is willing to do this activity, but it has no special appeal to the sub
Rating 3 = sub usually likes doing this Activity, at least on an irregular/occasional basis
Rating 4 = sub Likes doing this Activity and would like to experience it on a regular basis
Rating 5 = sub is wildly turned-on by this Activity and would like it as often as possible.
Items Marked with an Asterix "*" are items only to be done with or by Master
sub has done ( YES/NO )
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257

Action
Spanking - by Hand
Spanking - Caning
Spanking - Cat o'nine Tails - Braided
Spanking - Cat o'nine Tails - Deerskin
Spanking - Cat o'nine Tails - Leather
Spanking - Hairbrush spankings
Spanking - Over-the-knee spanking
Spanking - Paddle - Fur-lined Paddle
Spanking - Paddle - Leather
Spanking - Paddle - Wooden
Spanking - Strapping (full body beating)
Spanking - Whip - Breast whipping
Spanking - Whip - Caning
Spanking - Whip - Fiberglass/Plastic Rod
Spanking - Whip - Knotted
Spanking - Whip - Riding Crop
Spanking - Whip - Riding crops
Spanking - Whip - Single Lash
Spanking - Whip - Switch
Spanking - Whip - Whip

Rating ( NO thru 5 or NA )

Extra Instructions

Appendix A

09/18/2015

14

Rating NO = sub is not willing to do this Activity under any Circumstances (Hard Limit)
Rating 0 = sub has no desire to do this Activity and does not like it, but is willing (Soft Limit)
Rating 1 = sub does not want to do this Activity, but will not object if it is asked of her
Rating 2 = sub is willing to do this activity, but it has no special appeal to the sub
Rating 3 = sub usually likes doing this Activity, at least on an irregular/occasional basis
Rating 4 = sub Likes doing this Activity and would like to experience it on a regular basis
Rating 5 = sub is wildly turned-on by this Activity and would like it as often as possible.
Items Marked with an Asterix "*" are items only to be done with or by Master
sub has done ( YES/NO )
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277

Action
Speculums (Anal)
Speculums (vaginal)
Speech restrictions (when - what)
spitting
Standing in corner
Strap-on-dildos (penetrated by)
Strap-on-dildos (sucking on)
Strap-on-dildos (wearing for other females)
Supplying new partners for Master
Swallowing semen - Masters
Swallowing Cum Other Females
Swallowing semen Other Males
Tattooing
Teasing
Tickling
Toys - Anal plug (public, under clothes)
Toys - Anal plugs (large)
Toys - Anal plugs (small)
Toys - Floor Mounted Dildos
Toys - Sybian Machines - Private

Rating ( NO thru 5 or NA )

Extra Instructions

Appendix A

09/18/2015

15

Rating NO = sub is not willing to do this Activity under any Circumstances (Hard Limit)
Rating 0 = sub has no desire to do this Activity and does not like it, but is willing (Soft Limit)
Rating 1 = sub does not want to do this Activity, but will not object if it is asked of her
Rating 2 = sub is willing to do this activity, but it has no special appeal to the sub
Rating 3 = sub usually likes doing this Activity, at least on an irregular/occasional basis
Rating 4 = sub Likes doing this Activity and would like to experience it on a regular basis
Rating 5 = sub is wildly turned-on by this Activity and would like it as often as possible.
Items Marked with an Asterix "*" are items only to be done with or by Master
sub has done ( YES/NO )
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292

Action
Toys - Sybian Machines - Public
Toys - Vaginal plug (public, under clothes)
Toys - Vaginal plugs (large)
Toys - Vibrator on genitals
Toys - Vibrators/Dildos
Vaginal Sex
Verbal Abuse
Voyeurism
Voyeurism (watching others)
Voyeurism (your Master with others)
Water Torture
Wearing symbolic jewelry
Weights - Body Weights
Weights - Nipple weights
Wrestling
* Any additional by sub/ slave *

Rating ( NO thru 5 or NA )

Extra Instructions