Blank Checklist

With this chart 1 means dislike, 5 indifferent, and 10 LOVE it! Don’t place a check mark, instaed use a “N” if you have NEVER done this practice. A “T” for having tried it at least once in your life. If you have never done it and don’t think you would like it, place a “N” in box 1 of that row for example. .

	.1	.2	.3	.4	.5	.6	.7	.8	.9	10	………………comments……………………….
Sex w/Same	.	.	.	.	.	.	.	.	.	.	.
Sex w/Opp	.	.	.	.	.	.	.	.	.	.	.
In Sceneing	.	.	.	.	.	.	.	.	.	.	.
Watching Sceneing	.	.	.	.	.	.	.	.	.	.	.
Group Sex	.	.	.	.	.	.	.	.	.	.	.
Mild Domination	.	.	.	.	.	.	.	.	.	.	.
Total Domination	.	.	.	.	.	.	.	.	.	.	.
Bondage	.	.	.	.	.	.	.	.	.	.	.
Humiliation	.	.	.	.	.	.	.	.	.	.	.
Whiping Erotic	.	.	.	.	.	.	.	.	.	.	.
Whiping Harsh	.	.	.	.	.	.	.	.	.	.	.
Spanking Erotic	.	.	.	.	.	.	.	.	.	.	.
Spanking Harsh	.	.	.	.	.	.	.	.	.	.	.
Oral Sex Same Sex	.	.	.	.	.	.	.	.	.	.	.
Oral Sex Opp. Sex	.	.	.	.	.	.	.	.	.	.	.
Anal Sex	.	.	.	.	.	.	.	.	.	.	.
Clamps	.	.	.	.	.	.	.	.	.	.	.
Vibrators	.	.	.	.	.	.	.	.	.	.	.
Dildos	.	.	.	.	.	.	.	.	.	.	.
Butt Plugs	.	.	.	.	.	.	.	.	.	.	.
Electical Play	.	.	.	.	.	.	.	.	.	.	.
Water Play	.	.	.	.	.	.	.	.	.	.	.
Other Toys	.	.	.	.	.	.	.	.	.	.	.
Sex w/ Older Person	.	.	.	.	.	.	.	.	.	.	.
Sex w/Younger Person	.	.	.	.	.	.	.	.	.	.	.
Pony/puppy play	.	.	.	.	.	.	.	.	.	.	.
Role Play	.	.	.	.	.	.	.	.	.	.	.
Wax	.	.	.	.	.	.	.	.	.	.	.
Piercin	.	.	.	.	.	.	.	.	.	.	.
Genital Torture	.	.	.	.	.	.	.	.	.	.	.
Enemas	.	.	.	.	.	.	.	.	.	.	.
Slave Auction	.	.	.	.	.	.	.	.	.	.	.
Sensory Depriv.	.	.	.	.	.	.	.	.	.	.	.
Toilet Training	.	.	.	.	.	.	.	.	.	.	.
Golden Showers	.	.	.	.	.	.	.	.	.	.	.
Body Worship	.	.	.	.	.	.	.	.	.	.	.
Hot/Cold Play	.	.	.	.	.	.	.	.	.	.	.
Mummification	.	.	.	.	.	.	.	.	.	.	.
Cages	.	.	.	.	.	.	.	.	.	.	.
Fear Play	.	.	.	.	.	.	.	.	.	.	.
orgasm Denial	.	.	.	.	.	.	.	.	.	.	.
Fisting	.	.	.	.	.	.	.	.	.	.	.
FirePlay	.	.	.	.	.	.	.	.	.	.	.
Breathe Control	.	.	.	.	.	.	.	.	.	.	.
Edge Play	.	.	.	.	.	.	.	.	.	.	.
Mindfucking	.	.	.	.	.	.	.	.	.	.	.
Body Art	.	.	.	.	.	.	.	.	.	.	.
Public Display	.	.	.	.	.	.	.	.	.	.	.
Blood Sport	.	.	.	.	.	.	.	.	.	.	.

Physical Limitations-

Mental Limitations-