Check List for BDSM Negotiation

IMPORTANT
This document remains confidential between both parties
Always play safe and with consent

The SAFEWORD is RED = STOP

V7 Copyright: www.cbt42.com

    Section 1

    Your details
    This is a required question
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    Section 2

    How would you describe yourself
    This is a required question
    This is a required question
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    Section 3

    Feeling comfortable with the level of play
    Sensation Play
    Sexual Stimulation
    Sexual Penetration by fingers or toy
    Full Sexual Play - Vaginal
    Full Sexual Play – Oral
    Full Sexual Play - Anal
    Please enter one response per row
    Clothed
    Semi-Clothed
    Nude
    Please enter one response per row
    Restraint by command only
    Restraint by light bondage
    Restraint by strict bondage
    Please enter one response per row
    Blindfold
    Gag
    Gas Mask / Breath Play
    Please enter one response per row
    Private
    Witness / chaperone
    Public – play party
    Please enter one response per row
    Scene pictures taken
    Video
    Web Cam
    Please enter one response per row
    Trial
    1 Hour
    2 Hour
    24 Hour
    Other
    Please enter one response per row