Scene Questionnaire For BDSM Activities

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Scene Questionnaire For BDSM Activities
The following is a list of activities in the BDSM scene. It can be used by both the Dominant (male or female) and the Submissive (female) to interview each other, and see what level both are at. It is also used to find commonality.

Place a check next to each box which you can relate to the most. If confused, go to the next one, and come back when finished with the rest. Answer each question honestly.

Where it says “Yes/No” = means whether you’ve experienced that type of activity before. Put “Y” for yes or “N” for no.

Rating scale for checklist:
0 = Don’t ever ask me to do this.
1 = I don’t want to do this activity, but wouldn’t object if it was asked of me.
2 = I’m willing to do this activity, but it has no real appeal for me.
3 = I usually like doing this activity, at least on an occasional basis.
4 = I love doing this activity, and would like to experience it on a regular basis.
5 = I love this activity it makes me “hot”, and would like it as often as possible.

Note1. Some of these may fall under a few categories (example: Blindolds can be Humiliation & mental bondage)
Note2. Some of these could be used for health reasons too (example forced exercising)

CORPORAL PUNISHMENT
Y/N # Activity
__ [ ] Belts
__ [ ] Bruises
__ [ ] Cane (leather)
__ [ ] Cane (plastic)
__ [ ] Cat (braided)
__ [ ] Cat (no knots)
__ [ ] Crop
__ [ ] Leather Paddle
__ [ ] Paddle
__ [ ] Spanking
__ [ ] Whip
__ [ ] Wooden Hair Brush
__ [ ] Woodens Paddle

ROLE PLAY
Y/N # Activity
__ [ ] Act as objects (cars, furniture, etc)
__ [ ] Arrested
__ [ ] Baby
__ [ ] Burglar Attack
__ [ ] Call Girl
__ [ ] Cowgirl
__ [ ] Interrogation Scene
__ [ ] Kidnap Scene
__ [ ] Little girl
__ [ ] Maid
__ [ ] Medical Scene
__ [ ] Nun
__ [ ] Rape Scene (one)
__ [ ] Rape Scene (multiple)
__ [ ] Pet Roles
__ [ ] Pony Girl
__ [ ] Secretary
__ [ ] Student
__ [ ] Teenager
__ [ ] Torture Victim

HUMILIATION
Y/N # Activity
__ [ ] Act as objects (furniture, etc)
__ [ ] Age Play
__ [ ] Bathroom use control
__ [ ] Bathroom use in front of others
__ [ ] Blindfolds
__ [ ] Boot worship
__ [ ] Chauffering
__ [ ] Crawl on 4’s
__ [ ] Cross Dressing
__ [ ] Curse words (Whore, Slut, etc)
__ [ ] Curtsy in public
__ [ ] Dom chooses food
__ [ ] Dom chooses cloths
__ [ ] Enema
__ [ ] Eye contact restrictions
__ [ ] Foot worship
__ [ ] Forced Cross dressing
__ [ ] Forced dressing
__ [ ] Forced exercising
__ [ ] Forced nudity
__ [ ] Forced masturbation
__ [ ] Forced prostitution (pretend)
__ [ ] Forced slave auction
__ [ ] Forced to be a slave
__ [ ] Forced to wear a leash
__ [ ] Forced to wear see thru clothes
__ [ ] Golden shower
__ [ ] Harem–serving w/other(s)
__ [ ] Hood
__ [ ] Kneeling
__ [ ] Maid services
__ [ ] Mask
__ [ ] Pet roles (act like a dog, cat, etc)
__ [ ] Pet play (forced sex w/pet)
__ [ ] Scat Play
__ [ ] Scolding
__ [ ] Spitting in face
__ [ ] Serve as ashtray
__ [ ] Serve as toilet
__ [ ] Serve as waitress
__ [ ] Serve others (supervised)
__ [ ] Serve others (unsupervised)
__ [ ] Shave head
__ [ ] Shave body hair
__ [ ] Shave pubic hair
__ [ ] Slap face
__ [ ] Spanking (public)
__ [ ] Speech restriction
__ [ ] Stand in corner
__ [ ] Suck pacifier
__ [ ] Swallow urine
__ [ ] Take Pictures
__ [ ] Take Video
__ [ ] Verbal Abuse
__ [ ] Wear Collar everywhere
__ [ ] Wear Diapers
__ [ ] Write on Body (slut, sissy, worthless, etc.)

BONDAGE
Y/N # Activity
__ [ ] Arm Sleeves
__ [ ] Blindfolds
__ [ ] Breasts
__ [ ] Gag
__ [ ] Cage
__ [ ] Chain
__ [ ] Chastity Belts
__ [ ] Genital
__ [ ] Harness
__ [ ] Hoods
__ [ ] Immobilization (short time)
__ [ ] Immobilization (long time)
__ [ ] Inside a closet
__ [ ] Inside a coffin
__ [ ] Katherine wheel
__ [ ] Leather cuffs
__ [ ] Leather restraints
__ [ ] Leg Sleeves
__ [ ] Mask
__ [ ] Mind
__ [ ] Mortuary bag
__ [ ] Mouth bits
__ [ ] Nipple Clamps
__ [ ] Rack
__ [ ] Rope
__ [ ] Saran wrapping
__ [ ] Scarves
__ [ ] Shackles
__ [ ] Sleeping bag
__ [ ] Sling
__ [ ] Spread bar
__ [ ] Steel cuffs
__ [ ] Steel restraints
__ [ ] Stock
__ [ ] Straight jacket
__ [ ] Suspension (regular)
__ [ ] Suspension (up-side down)
__ [ ] Suspension (horizontal)
__ [ ] Tied to a cross
__ [ ] Wrestling
EDGE/MIND PLAY
Y/N # Activity
__ [ ] Abrasion
__ [ ] Asphyxia
__ [ ] Branding
__ [ ] Choking
__ [ ] Cloth Pins
__ [ ] Cutting
__ [ ] Electric (violet wand)
__ [ ] Electric (muscle stimulant unit)
__ [ ] Face slapping
__ [ ] Flesh Hooks
__ [ ] Gang Rape scenes
__ [ ] Genital (weights)
__ [ ] Genital (cloth pins)
__ [ ] Genital (pins/needles)
__ [ ] Genital (rope)
__ [ ] Genital (vise)
__ [ ] Genital whipping
__ [ ] Gun Play
__ [ ] Hair Pulling
__ [ ] Hot wax
__ [ ] Ice
__ [ ] Fire and Ice (same time)
__ [ ] Knife play
__ [ ] Medical scenes
__ [ ] Needles
__ [ ] Piercing
__ [ ] Pinching
__ [ ] Rape Fantasy
__ [ ] Slap Face
__ [ ] Sleep deprivation
__ [ ] Tattoo
__ [ ] TENS units
__ [ ] Tickling
__ [ ] Tit (weights)
__ [ ] Tit (cloth pins)
__ [ ] Tit (pins/needles)
__ [ ] Tit (rope)
__ [ ] Tit (vise)
__ [ ] Torture rack
__ [ ] Water torture

FETISH WEAR
Y/N # Activity
__ [ ] Corsets
__ [ ] French maid
__ [ ] Child/Baby
__ [ ] High Heels
__ [ ] Leather
__ [ ] Lingerie
__ [ ] PVC
__ [ ] Rubber
__ [ ] Slutty
__ [ ] Spandex
__ [ ] Uniforms
__ [ ] Victorian

SEXUAL D/S
Y/N # Activity
__ [ ] Anal
__ [ ] Anal beads
__ [ ] Anal plugs (small)
__ [ ] Anal plugs (large)
__ [ ] Anal fisting
__ [ ] Anal (vibrator/dildo)
__ [ ] Benwa balls
__ [ ] Bi-sexuality
__ [ ] Chastity Belt
__ [ ] Cock Worship
__ [ ] Forced bi-sexuality
__ [ ] Hand jobs (giving)
__ [ ] Hand jobs (receiving)
__ [ ] Masturbation
__ [ ] Orgy (more then 3)
__ [ ] Oral sex (giving)
__ [ ] Oral sex (receiving)
__ [ ] Orgasm Control
__ [ ] Orgasm Denial
__ [ ] Phone sex (voluntary)
__ [ ] Phone sex (forced to have it with others)
__ [ ] Sexual denial (short term)
__ [ ] Sexual denial (long term)
__ [ ] Sexual Double Penetration
__ [ ] Swallow semen
__ [ ] Swapping
__ [ ] Threesomes
__ [ ] Vaginal sex
__ [ ] Vaginal fisting
__ [ ] Vaginal Toys
__ [ ] Vaginal – Anal intercourse (same time)
__ [ ] Voyerims (watching master play w/others)
__ [ ] Voyerism (watching other play)