The Headmistress' BDSM Profile.

The Headmistress' BDSM Profile

In session, you are expected to display proper courtesy and the respect due to someone of higher rank, and to respond verbally each and every time you are spoken to. You are forbidden to do anything without instructions or permission. If you have questions, you may ask permission to speak. Unless told otherwise, we DO allow you to freely compliment the Mistress. We also allow you to beg and grovel for mercy or favors, which are at our discretion.

Print this form (or save as a file), and fill it out completely.

Date:___________

Mistress:______________________

Alternate choices for Mistress:______________________

The purpose of this profile is to help us to understand how we can best meet your needs; it will also assist us in guiding you further in the future. Please be as honest and accurate as possible when filling it out. D/S is a two way street. Communication makes it work. Be sure to read Slave Protocol

Name (First Name, Last Initial):____________________________________________________________________________

Preferred date and time of session:____________________________________________________________________________

Preferred length of session:____________________________________________________________________________

Where did you hear about this establishment?
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Have you ever been here before and if so, how many times and which Mistress(es) have you seen?
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Which Mistress would you like to see today?________________________________________________

Age:_______________________________________________________________________________________

Marital Status:____________________________________________________________________________

Sexuality:____________________________________________________________________________

Straight, Bi, Gay, Lesbian, Transsexual, etc.

Where are you from?: ________________________________________________________________

Have you had anything to drink? ____ If so how much?: ________________________________________________________________

Health Status: Do you have any medical condition that we should know about, that may affect you during a session:
Spinal/joint problems, injuries, low/high blood pressure, diabetes, asthma, low blood sugar, heart/lung problems, epilepsy, allergies, hemophilia, HIV positive, motion sickness, dizziness, other:

Are you claustrophobic? ______ In what way?: _____________________________________________

Do you have any child abuse issues?_______________________________________________________

Do you wear contact lenses?: _____________________________________________________________

Can you be marked? For a few hours, A day, Several Days, Not at All

How long have you been interested in D&S/S&M?______________________________________

How did your interest originate?
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How often do you 'play'?____________________________________________________________________

How many professionals have you seen before?________________________________________________

Do you have any fetishes? Please list.
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Briefly describe your favorite fantasy and/or activity:
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What do you hope to accomplish here with us?
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Do you have any long-term goals (in this regard)?
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Do you prefer to see the same Mistress each time, or would you prefer some variety?
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Where appropriate in the next section, mark the item(s) with the numeral 0, 1, 2, or 3 to indicate your level of interest. If it is something you have only fantasized about, follow the number with a question mark.

What attire do you prefer for your Mistress? (Check preferred items)

leather__, latex__, PVC__, patent leather__, spandex__, satin__, lace__, corset__, garters__, skirts__, dresses__, business suit__, uniform (specify)__, hats__, boots (knee high__, thigh high__, riding__), shoes (high heels__, stilettos__, platform__),bare feet__, stockings__, panty hose__, tights__, fishnets__, nylons (sheer__, sparkly__, black__, red__, white__)
Other:______________________________________________________________________

Do you request that your Mistress wear any particular attire for your session today? Specify.
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Do you wish to wear any particular attire today?

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What best describes you in your scene:

passive recipient of mixed sensations (including bondage)__, slave__, pet__, submissive__, forced submissive__, naughty boy/girl in need of discipline__, naughty slut__
Other:____________________________________________________________________________

Please choose one:

I wish to be proud of my submissive status.
I wish to be humiliated for my submissive status.

I enjoy the following types of role-playing (Check preferred scenario/s):

Doctor/patient__, teacher/student__, trainer/slave__, interrogator/prisoner__, trainer/animal__, governess/charge__, aunt/naughty niece or nephew__, Mistress/servant__, Goddess/sex slave__, torturer/victim__, Mistress/slave__, pimp/whore__, gender reversal__
Other:____________________________________________________________________________

I wish to play the ___________________ role today.

I enjoy the following head space in a scene:

suffering to please the Mistress
rite of passage (personal growth)
expiation of guilt
suffering against my will
used for Mistress' pleasure, regardless of my own feelings

Other:____________________________________________________________________________

I prefer the Mistress be: (Please mark the appropriate adjective(s))

kind__, understanding__, demanding__, critical__, condescending__, unapproachable__, cold__, detached__, passionate__, cruel__, humorless__, playful__, sensuous__, sadistic__, crude__, refined__, superior__, gentle__, rough__, volatile__, sexually aggressive__
Other:____________________________________________________________________________

I enjoy the following activities: (Please mark level of interest 0-3)

Humiliation__, Teasing__, Exhibitionism (private__, semi-private__, fetish party__, public__), Verbal degradation__, Forced degrading acts__, Showers (on face__, chest__, cock__, mouth__), Enemas (quick cleaning__, forced retention__), Forced swallowing of my own cum__, Anal penetration (dildo__, fisting__, penis__), Forced bi male (oral__, anal__), Toilet training (golden__, brown__), human furniture (chair__,table__,footstool__,statue__), Equestrian training__, Canine training__, Household Chores__
Other:____________________________________________________________________________

Cross-dressing. I enjoy the following items: (Please mark level of interest 0-3)

wigs__, foundation__, eye make-up__, lipstick__, nail polish__, bras__, panties__, corsets__, waist-cinchers__, garters__, stockings__, nighties__, slips__, high heels__, camisole tops__, mini-skirts__, long skirts
Other:____________________________________________________________________________

I enjoy the following body worship activities: (Please mark level of interest 0-3)

foot licking__, toe sucking__, boot/shoe licking__, ass worship__, pussy worship__, breast worship__, finger licking/sucking__, dildo sucking__, caressing__, massaging__
Other:____________________________________________________________________________

I enjoy the following S&M activities: (Please mark level of severity preferred 0-3)

face slapping__, body slapping__, smothering__, tickling__, trampling__, punching__, hair pulling__, choking__, kicking__, trampling__, cock and balls torture (whipping__, crushing__, clamps__, prickling__, weights__), nipple torture__, scratching__, biting__, spit on__, pinching__, play piercing__, cutting__, violet wand__, Erostek, PES or TENS electro-shock unit__, hot wax__, corporal punishment__
Other:____________________________________________________

I enjoy the following discipline activities: (Please check preferred activities)

English style discipline__, over the knee spanking__, 'made to hold the position'__, hand strapping__, restrained discipline__
Other:______________________________________________________________________

With the following implements being used on me:

hand__, hairbrush__, ruler__, wooden paddle__, leather paddle__, school strap__, wide strap__, cane__, riding crop__, cat o' nine tails__, quirt__, signal whip__
Other:____________________________________________________

On the following parts of my anatomy:

hands__,feet__, buttocks__, back of legs__, back__, genitals__,testicles__, penis__
Other:______________________________________________________________________

I enjoy the following types of bondage: (Please check)

Leather straps__, rope__, mummification__, strait jacket__, leather body bag__, inflatable rubber body bag__, inverse suspension__, flying suspension__
Other:______________________________________________________________________

Which of the following props do you enjoy? (Please check)

Gags__, hoods__, inflatable hoods__, blindfolds__, gas masks__, nipple clamps__, catheters__, posing harness__, C&B restraints/weights__, butt plugs/dildoes__, arm binders__, hot wax__, Erostek, PES or TENS electro-shock units__, violet wand__
Other:______________________________________________________________________

Are there any specific props you wish to be used in your session today?

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Are there specific apparatus you wish to be restrained by in your session today?

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Please be sure to fill out this Feedback Section after the session. Your comments and feelings are important to us.

Was this what you expected? Was it as good or better than you hoped?

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How was it different from what you expected?

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What, if anything, would you have changed?

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What did you like best about your visit today?

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What do you think you would like to do next time you visit?

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Do you have any other comments or suggestions?

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