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Campaign Safety & Consent Checklist
This form is for use in Icewind Dale: Rime of the Frostmaiden, which is listed as having a horror themes and includes harsh survival elements.  WotC used the following keywords to describe it ‘Fantasy horror, paranoia, isolation, & secrets’.  When using this form keep in mind horror elements may be included as appropriate from the module.

Also note, while this is not a specifically adult themed game,  players should be able to handle themes in mature ways.
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MAKE A COPY OF THIS FORM FOR YOUR OWN USE
Please use this link to copy this form to your own google drive to use yourself.  https://docs.google.com/forms/d/1XHjWwG3vdyhcX1uyAQT-XqwwhTZBFkW-JD9Ubhn_YUs/copy?usp=sharing
Note the baseline assumptions of the game:
How to use this Form
This form uses a stoplight color-coded system to illustrate your comfort level with the following plot or story elements

GREEN: Acceptable or doesn't matter.

YELLOW: Ok if veiled or referenced to "off-screen"; It may be ok onscreen but would requires discussion ahead of time; and/or I'm uncertain how I feel about it

RED: Hard Line, this should not be included or referenced at all

Use the NOTES part of each section to go into any details or add anything else that was missed
Name *
Highest rating equivalent you are comfortable with in game *
Horror
Green
Yellow
Red
Bugs
Blood
Demons
Eyeballs
Gore
Harm to animals
Harm to children
Rats
Spiders
Clear selection
Horrror: Additional Items to note
Relationships
Green
Yellow
Red
Romance
Romance with a fade to black
Romance that is explicitly described
Romance Between PCs and NPCs
Romance Between PCs
Sex
Sex with a fade to black
Sex that is explicitly described
Sex between PCs and NPCs
Sex between PCs
Clear selection
Relationships: Additional Notes
Social & Cultural Issues
Green
Yellow
Red
Homophobia
Racism
Real-World Religion
Sexism
Transphobia
Slavery
Clear selection
Social & Culture: Additional Notes
Mental & Physical Health
Green
Yellow
Red
Cancer
Claustrophobia
Gaslighting
Genocide
Paralysis/physical restraint
Self-Harm
Sexual Assault
Terrorism
Torture
Clear selection
Mental & Physical Health: Additional Notes
Additional topics not covered
Is there content you definitely want to see in the game?
Do you want the Facilitator to follow with you privately to clarify any of these responses?
Clear selection
ACKNOWLEDGEMENTS
This form was created for the TTRPG Safety Toolkit and is adapted from the RPG Consent Checklist that appears in the Consent in Gaming supplement by Sean K. Reynolds and Shanna Germain, published by Monte Cook Games. It can be found at https://www.montecookgames.com/store/product/consent-in-gaming/

The TTRPG Safety Toolkit is a resource created by Kienna Shaw and Lauren Bryant-Monk. The TTRPG Safety Toolkit is a compilation of safety tools that have been designed by members of the tabletop roleplaying games community for use by players and GMs at the table. You can find it at bit.ly/ttrpgsafetytoolkit.

Please do not remove these acknowledgements from the form in subsequent copies.
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