Submissive BDSM Play Partner Check List 01 34 PDF

Submissive BDSM Play Partner Check List
Part 1 - Interests and Activities

This checklist should be filled out by a Sub and provided to their Dom/Top before playing with them. This will provide a quick
"head-start" to identifying limits, negotiating and finding common ground for play. Dominants may wish to work through the
checklist, to get a better handle on their specific interests. Switches should go through the checklist twice; one persons Dom
and Sub interests may be very different.
For each item, you need to provide two answers:

1. For experience, write YES or NO next to each item to indicate if you have ever DONE that activity. Mark N/A if it
does not apply to your gender.
2. For willingness, indicate for each item how you feel about DOING that activity by rating it on a scale of NO or 0 to 5
Willingness quick-key:
NO - I WILL NOT DO that item under ANY circumstances (a hard limit).
"?" - I don't understand what the item is attempting to describe.
* - I will do with current sex partner only.
+ - I'm scared of this but would possibly like to explore it.
! - I'm embarrassed to admit I like this.
/ - I understand the activity but are unsure of how to answer
0 (zero) indicates you have utterly no desire to do that activity and don't like doing it (in fact, may loath it) and
would ordinarily object to doing it, but you would permit the Dominant to do it if it they really wanted it.
(sometimes called a "soft limit").
0@ indicates the same as 0, AND the activity is on your Worst 10 list - 10 being a flexible number.
1 means you don't want to do or like to do this activity, but wouldn't object if it was asked of you.
2 means you are willing to do this activity, but it has no special appeal for you.
3 means you usually like doing this activity, at least on an irregular/ occasional basis.
4 means you like doing this activity, and would like to experience it on a regular basis.
5 means the activity is a wild turn-on for you, and you would like it as often as possible.
5# means the activity is a wild turn-on for you, you would like it as often as possible, AND the activity is on your
Top 10 list - 10 being a flexible number.
= means 5 and Most Memorable 10
Mark with an asterisk, * those items which you are willing to do only with your current sex partner(s), but not with casual
play-partners. Use multiple keys to indicate range (4-5 = from regularly to as often as possible) or if more than one applies
(*+). A NO does means NO, and will be respected.
Highly Recommended: If you have a wide variety of items (kinks) that you indicated 5 - wild turn-on, you may also want
to indicate your Top 10 with 5#, or Most Memorable 10 with =. Try to limit your use of # and = to those that 1) are
best of the best, but 2) a small number, anything between 5 and 14 is good. More than 10 frustrates the purpose of
making such a selection, and less than 5 may leave your partner with nothing he/she is interested in. Additionally, if =,
Most Memorable, give some notes on what made the experience memorable.
Private in a private setting, not always one on one

Semipublic in a kink friendly setting, not always with non-participant observers
Public in general public (risky)
Here are some resources on the web that explain some of the terms used.
http://www.bdsm-dominatrix-mistress-fire.com/BDSM/bdsm_definitions.htm
[may be directed to main page for age verification, but page does exist]
http://www.fetishalliance.net/Stories/Other_Stories/smdictionarybyunknown.htm
[some general definitions]
Page 1 of 94
http://www.londonfetishscene.com/wipi/index.php/Main_Page
[not a list, but an extensive wiki, with redirects to actual articles]
http://uk-mistresses.com/dictionary.html
Note any additional information or nuances which might be important for your Dom to know in the margin to the right. For
example under diapers you might wish to distinguish between "wetting" and "soiling".
There is intentionally some overlap between categories. Unless otherwise stated, the Sub is the recipient/target of the
activity. Finally, due to lack of personal interest, female / bisexual / bi-curious options have been intentionally omitted, or
put under a more general or combined category as in genital torture or cock/pussy torture.
The compiler of this list is a gay Master; mixed sex pairing items is not as inclusive as those for a male /
male pairing
DO BE AWARE THAT THE FOLLOWING IS A COMPILATION OF SEVERAL LISTS THAT WERE FOUND
THROUGH VAROUS INTERNET SOURCES, LIST TOPICS WILL OVERLAP, OR BE RESTATED ELSEWHERE IN THE LIST.
ITEMS / ACTIVITIES LISTED MAY OR MAY NOT BE OF INTEREST OF YOUR PARTNER. AN (*) INDICATES THE SAME
TOPIC APPEARS IN A DIFFERENT VARIATION ELSEWHERE IN THE LIST. NOTE THAT THE USE OF (*) IS NOT FULLPROOF;
YOU MAY FIND TOPICS THAT ARE RELATED WITHOUT A (*) MARKING.
Do include any additional information or nuances that might be important for your Partner to know in
Notes and Nuances on the right.
Use space at bottom of list for interests not listed, whether 0 or 5 or anywhere between.
Real name: ____________________________
Today's Date: __________________________
Age: _________ Birth Year: ______________
I AM CURRENTLY A ____ MALE ____ FEMALE ____ specify:______________
MY GENDER IDENTITY IS ____ MALE ____ FEMALE ____ specify:______________
MY RELATIONSHIP PREFERENCES ARE

____ None, single, without limit
____ Open, with little limit (but I know who I will go home to)
____ Open, but only with both of us
____ Monogamous
____ Polyamorous / Polyandrous
____ ______________
Top ___ % Bottom ___ % Switch ___ %

Hetero / Straight ___ % Gay ___ % Pure Bisexual ___ %
If switch, use 2 copies of this form. Fill in for TOP in one copy. Fill in for bottom in a second copy.
Top ___ % Bottom ___ %
If bisexual / bi-curious, copy this form. Fill in for opposite sex pairing in one copy. Fill in for same sex paring in a second
copy.
Hetero / Straight ___ % Gay ___ %
Page 2 of 94
Be completely honest. You MUST keep your Master / partner informed!

Role in this list __ TOPDOM // __ bottomsubmissive Willingness Notes & Nuances
Activity Experience * / No, ?, or # Top 10 = Most Memorable
Yes / No 0,1,2,3,4,5 @ Worst 10
24/7 - 24/7/365 - TPE
Abrasion / Abrasive Play (emery board /
sandpaper)
Acrophillia (arousal from heights)
Acrotomphilia (arousal from stumps or
amputees)
Adult baby - see also Infantilism
Aftercare (at finish of play)
Agalmatophilia (arousal by sex with statues)
Age play / age role play (specify age)
Age play age regression
Age play daddy / son
Age regression, scene
Age regression, lifestyle, hypno reenforced (*)
Amazon Women
Anal / Arse / Ass play (stimulation play of the
anus)
Anal / Arse / Ass play - severe / impalement
Anal Beads / Ben Wa Balls
Anal Dilation
Anal Fisting (fist fucking)
Anal plug (public, under clothes)
Anal plugs (large)
Anal plugs (small)
Anal sex - bareback
Anal sex - fingers / fist
Anal sex giving (fucker) receiving (fuckee)
Anal sex strap-on-dildos
Anal toys dildo
Anal toys egg (vibrating)
Anal toys vibrator
Anal torture
Anilingus (giving/receiving oral/anal
stimulation) (*)
Anilingus (giving oral / anal stimulation) see
oral / anal
Animal roles (*) see Human animal
Ankle restraints
Ankle shackles (metal)
Anthropomorphic (self contrived or false
amputation)
Arm & leg sleeves (arm binders)
Page 3 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Armpit sex - pit sniffer / pit licker / armpit -
genital sex
Aromas Amyl
Asphyxiation (unsafe)
Asphyxiaphilia (breath play) (unsafe)
Ass cheek sex (between, not in)
Ass play / Arse play (*)
Attraction for Uncircumcised Penis
Auctioned as slave
Auctioned for charity (*)
Auctioned (for specified use by purchaser)
Auto-Erotic Asphyxiation (to heighten sexual
pleasure)
Ball gag (*)
Ball / Testicle stretching
Bareback (sex without use of condom) / see
specifics
Barosmia (arousal from smell of flagellation)
Bastinado (beating the soles of feet)
Bathroom use control
Bathroom use in front of others (no privacy) /
forced
Battery Play (9 volt) / also see TENS
BBM / BBW (big beautiful men / women) (*)
BD / Bondage Discipline, Degradation (the BD
of BDSM)
Beating (General)
Beating - Canes
Beating - Crops
Beating - Floggers
Beating - Hairbrushes
Beating - Paddles
Beating - Spanking
Beating - Straps
Beating - Whips
Beating - *Hard
Beating - *Soft / Erotic
Beating Location - Back
Beating Location - Bottom
Beating Location - Chest
Beating Location - Feet
Beating Location - Genitals
Beating Location - Legs
Page 4 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Begging / Pleading
Behavior Restrictive Rules
Being bitten / Biting
Being Boxed (coffin, crate, trunk, cage (*),
etc.)
Being of service / serviced (sexual)
Being Spit Upon
Being Teased
Belly Dancing / see also erotic dancing
Belly Punching
Belt / Strap / Strop
Ben Wa Balls / also Ass Beads (*)
Beast Torture
Bestiality (Beastiality) (list desired (5) and no
animals)
Blackmail / Financial Subjection / see also
Money Slave
Blackmail - Humiliation
Biting (contrast to being bitten)
Blindfolds
Blood Play / be specific (unsafe)
Blow Up Sex Dolls (specify male / female)
Blue Balls / BT / Ball (testicle) Torture
Blue Balls / extended chastity and teasing
Body Bag / also see Sleep-sack
Body Builder - Male
Body Builder - Female
Body Hair (*)
Body Modification - Branding
Body Modification - Piercing, Permanent
Body Modification - Piercing, Play
Body Modification - Saline Injection
Body Modification - Scarification
Body Modification - Tattooing
Body Modification - Extreme Experiments
Body Modification - Other, Specify
Body piercing / see Piercing (specific) (*)
Bondage (General)
Bondage - Heavy
Bondage - Light
Bondage - Multi-Day
Bondage - Extended/Prolonged
Bondage - 1-3 hours
Page 5 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Bondage - 3+ hours
Bondage - Overnight
Bondage - Public, Display
Bondage - Public, Outdoors
Bondage - Public, Under Clothing
Bondage - Breast
Bondage - Full / Whole Body
Bondage - Genital
Bondage - Intricate
Bondage - Shibari (Intricate Japanese rope
bondage) (*)
Bondage - Sleeves, Arm
Bondage - Sleeves, Leg
Bondage - St. Andrew's Cross
Bondage - Suspension
Bondage - Suspension, Inverted
Bondage Material - Bondage Bench
Bondage Material - Bondage Sawhorse
Bondage Material - Chain
Bondage Material - Cuffs
Bondage Material - Duct Tape
Bondage Material - The Humbler (testicles)
Bondage Material - Intricate
Bondage Material - Improvised
Bondage Material - Leather
Bondage Material - Locks
Bondage Material - Metal
Bondage Material - Rope
Bondage Material - Saran Wrap
Bondage Material - Scarves
Bondage Material - Shackles
Bondage Material - Silk
Bondage Material - Sleep sack (*)
Bondage Material - Sling/Swing
Bondage Material - Spreader Bars (*)
Bondage Material - Steel / Wire / Metal
Bondage Material - Stocks
Bondage Material - Straight Jackets
Bondage Material - Tape
Bondage Restraints - Thumb cuffs
Bondage Restraints - Ankle
Bondage Restraints - Arm leg sleeves
Bondage Restraints - Wrist
Page 6 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Bondage Restraints - Wrist to ankle/neck/waist
Bondage Restraints - Thigh to Wrist and Ankle
Bondage Sawhorse - Padded Sawhorse (*)
Boot licking
Boot wearing
Boot worship
Branding - cold
Branding - hot / cauterization branding
Breast flagellation / whipping
Breast / chest bondage / binding
Breast / chest fucking
Breast / chest / tit torture (TT)
Breast / chest / whipping
Breast / Nipple torture (TT)
Breath control (choking)
Breath Control / Play (mild restrictions)
Brown showers aka scat (*)
Bruises / Welts
Butch / Femme role play / also forced
feminization
Butt plugs - see anal plugs
Cages / Boxing / Kennels (locked inside of)
Cage Display
Cage Display and ignored
Candle Wax (*) Hot Wax / Wax play
Caning - English/Hard
Caning - punishment
Caning - light/sensual
Castration, actual surgery
Castration, chemical
Castration, fantasy
Castration, physically (elastic bands) only
during scene
Cat O' Nine Tails - see whipping
Cat O' Nine Tails - flogger
Cat O' Nine Tails - knotted
Catheterization
Cattle prod (electrical toy) (*)
CBT (cock and ball torture)
Cells/Closets/Confined Spaces/Kennels (locked
inside of)
Chains (hung from, wrapped in, bound with,
confined)
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Yes / No 0,1,2,3,4,5 @ Worst 10
Chair Bondage (*)
Chamber Pot use
Charity auctions (*)
Chastity belt / device / also see ? (*)
Chastity enforced (*)
Chastity Device (Short Term)
Chastity Device (Multi Day)
Chastity Device (Long Term / Permanent)
Chauffeuring (driving)
Chem heat Icy Hot
Chinese Balls/Ben Wa Balls/Anal Beads (*)
Choking - Breath Control (*) (unsafe)
Chores (domestic service / housework) (*)
Circumcised Penis (*)
Clamps - see tit clamps
Cling Film (see bondage saran wrap) (*)
Clothespins / Clothes pegs
Clothespins cock
Clothespins scrotum / balls
Clothespins tits / chest
Clothespins zipper
Clothing - Chosen For
Clothing - Corsets
Clothing - Full Head Hoods
Clothing - Harnesses
Clothing - High Heels
Clothing - Lingerie
Clothing - Masks
Clothing - Uniforms (General)
Clothing - Uniforms, Law Enforcement
Clothing - Uniforms, Military
Clothing - Uniforms, School
Clothing Material - Latex / Spandex
Clothing Material - Leather
Clothing Material - PVC
Clothing Material - Rubber
Clothing Material - Sheer
Cock and Ball Torture (CBT) (*)
Cock Bondage / Harness
Cock Piercing (permanent)
Cock Piercing (temporary)
Cock Piercing specify (PA, Ampallang,
Apadravya, Frenum Ladder, Guiche)
Page 8 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Cock Rings / Straps
Cock - Genital whipping (giving / receiving)
Cock - Genital worship (giving / receiving)
Cold room / cell / basement
Collars (chain)
Collars (leather)
Collars (metal)
Collars (worn in private)
Collars (worn in public, under clothes)
Collars (worn in public, visible)
Collars (worn in semi-public, visible)
Collars and lead / leash (worn in private)
Collars and lead / leash (worn in public, under
clothes)
Collars and lead / leash (worn in public, visible)
Collars and lead / leash (worn in semi-public,
visible)
Competitions (with other Subs/Slaves/Bottoms)
Consensual Non-Consent / Non-Consensuality -
also TPE
Contract slave (TPE) (*)
Coprophilia (Shit Play) / Scat / Brown Showers
(*)
Corsets (for purpose of body modification)
Corsets (trained waist reduction)
Corsets (wearing casually / for display /
humiliation)
Cowboys/cowgirls
Crawling (on all 4's) / (on knees upright)
Cross-dressing / gender bending fetish
Cross-dressing - humiliation
Cross-dressing - Upskirt, Stockings, Nylons,
Pantyhose Fetish
Crucifixion - St Andrew's cross / Regular cross /
extended
Cuffs (leather) (*)
Cuffs (metal) (*)
Cum-Control (severe / chastity) (*)
Cum-Control (blue balls - teasing) (*)
Cupping / Suction (snake bite kit) / also
Pumping / Vacuum
Cutting (knife / blood play) (*)
Cyber sex - see phone sex / web cam sex
Page 9 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Dacryphlia (arousal from tears)
Daddy / son play
Daily diary / journal
Damsel in Distress Fetish
Deep Throating - also Head
Defilement public while dirty (scat) / made
dirty
Defilement public while wet (urine) / made
wet
Degradation, physical / embarrassing situation,
position
Degradation, verbal (being called whore, slut,
worthless, pussy, etc.) (*)
Denim / Levi's
Dental Gags - Retractors
Dental Play
Depilation / Shaving (*)
Diapers (soiling)
Diapers (wearing)
Diapers (wetting)
Dilation anal / sphincter relaxation
Dilation penile
Dilation vaginal
Dildos (on self / on partner) (*)
Dildo - Anal
Dildo - Oral (see also Gags)
Dildos - Handheld
Dildos - Strap-ons
Directed Daily Activities
Dirty Sex (mud, dirt, oil, rubbish)
Dirty Talk / Hot Chat
Discipline - Corporal/Punishment
Discipline - Flogging
Discipline - Other (specify)
Doctor / Nurse Play
Doctor - Nurse / Patient Play
Domestic chores / service (*)
Domination Dom selects clothing for sub
Domination Dom selects food for sub
Double penetration (dildos / multiple
partners)
Double penetration anus / mouth / vaginal
(specify)
Page 10 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Douching - Anal / see enemas
Douching - Vaginal
Drinking - Blood [own/another]
Drinking - Semen [own/another]
Drinking - Urine [own/another]
D/s Domination and submission (the DS of
BDSM)
Duct Tape
Ear Fetish / Play
Ear plugs (*)
Eating at feet (contrast to human canine)
Eating off the floor
Edge play (risk taking - extending the
boundaries of play)
Edging / Orgasm control (*)
Ejaculation Male / Female
Electrical - Cattle prod (*)
Electric Torture aka Electricity / Electrotorture
Electric Play
Electricity - internal (egg/probe)
Electricity - EMS TENS Unit
Electricity - violet wand (*)
Enemas (cleansing)
Enemas (ice cubes)
Enemas (punishment / retention)
Enemas (training / mod)
Enforced Chastity (*)
Enforced Servitude / Slavery
Erotic Dance (perform for private audience)
Erotic Dance (perform for public audience)
Erotic Dance (watching)
Erotic Humiliation
Examinations (medical)
Examinations (physical)
Examinations / Inspections (publicly as slave)
Exercise (forced/required)
Exhibitionism (friends)
Exhibitionism (strangers / public)
Exhibitionism (showing off to others)
Exhibitionism (showing off with your Dom to
others)
Exhibitionism (strangers)
Exhibitionism / Sex in public - semi-public
Page 11 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Eye Contact Requirements
Eye Contact Restrictions
Face fucking (*)
Face slapping (*)
Fantasy Abandonment
Fantasy Abduction (see kidnapping)
Fantasy gang-rape
Fantasy rape
Fantasy of Rendered or Unconscious
Men/Women
Fear (being scared)
Feathers and Fur Play / specify
Feathers / Tickling
Feces play / Brown Showers / Scat / specify
Fellatio / see Head
Femoral Intercourse (fucking closed thighs)
Financial Domination / Blackmail / Money slave
Fighting / Cat-fight
Finger Claws
Finger Sex (see also Fisting)
Finger Sucking
Fire / Flame play (*)
Fisting (anal) / FF / Fist Fucking (also foot
fucking)
Fisting (anal) bareback
Fisting (double)
Fisting (vaginal)
Fisting (vaginal) bareback
Flame / Fire play (*)
Flogging (*)
Flogging - chest
Flogging - back
Flogging - butt
Following Orders / Obedience Training / S of DS
of BDSM
Food - Chosen For
Food - From Animal / Dog / Pet Bowl
Food - From Another's Hand
Food - From Body [chest as plate]
Food - Fucking (using food to insert into body),
specify
Food Play - Other
Foot Binding
Page 12 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Foot Bondage
Foot Fetish
Footing / Foot Fucking / Foot Anal Sex
Foot Licking (shrimping)
Foot Massage
Foot Worship
Footing (anal)
Footing (anal) bareback
Forced Bedwetting
Forced Bisexuality
Forced Cross Dressing
Forced Domestic Service
Forced Dressing
Forced Eating
Forced Exercising
Forced Feminization
Forced Group Sex / Multiple Partners / Orgy
Forced Heterosexuality
Forced Homosexuality
Forced Masturbation other
Forced Masturbation self
Forced Nudity (around others) (*)
Forced Nudity (private) (*)
Forced Nudity (public) (*)
Forced Nudity (semipublic) (*)
Forced Nudity (with others also nude / semi
nude)
Forced Oral Sex
Forced Pants / Panty / Underclothes Wetting -
WS
Forced Servitude / Forced to be a slave (*)
Forced Smoking
Forced Stripping / nudity (private) (*)
Forced Stripping / nudity (public) (*)
Forced Stripping / nudity (semi-public)
Forced Wetting Self (panty / pants)
Foreskin restoration
Foreskin stretching / torture
Frottage (arousal from rubbing of clothed
bodies)
Full Head Hoods
Gags (ball) (*)
Gags (bit) - see also human equine
Page 13 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Gags (cloth)
Gags (clothing, scarf, sox, jock, underclothes,
improvised)
Gags (dental)
Gags (inflatable)
Gags (leather)
Gags (mouth stuffing)
Gags (phallic)
Gags (ring - force mouth to stay open)
Gags (rubber / rubber ball)
Gags (strict)
Gags (scarf)
Gags (tape)
Gangbang (multiple fuckers, one fuckee)
Gas Masks
Gates of Hell (male) specify number of rings
Genital (cock/pussy) Clamps (*)
Genital (cock/pussy) Whipping (*)
Genital (cock/pussy) Worship (*)
Genital Sex / Intercourse
Genital Sex (doggie style / a la vache / aka
Milking)
Genital Sex bareback
Genitorture (heavy)
Genitorture (light, sensual)
Giant / Giantess
Gimp - see objectification, see also Serving
As ...
Given away - auction
Given away to another Dom - Permanent
Given away to another Dom - Temporary (*)
Giving Orders / Command Training / D of DS of
BDSM
Glory Hole
Golden Showers aka Water Sports (WS) (*)
Golden Showers (on body)
Golden Showers (on face, hair, in mouth)
Golden Showers into food, drink, forced to
consume
Group sex
G-Spot
Gun play
Gut Punching (stomach as punching bag)
Page 14 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Hair Bondage
Hair Cutting / Shaving (body)
Hair Cutting / Shaving (head)
Hair Holding
Hair Pulling
Hairbrush Spankings
Hand jobs (giving) (*)
Hand jobs (receiving) (*)
Hand Licking / also human canine
Handcuffs (metal)
Harems / Slave Stable (belonging to)
Harems / Slave Stable (serving w/other subs)
Harnessing (chain)
Harnessing (leather)
Harnessing (rope)
Harnessing (rubber)
Having clothing chosen for you - Control
Having clothing chosen for you - Humiliation
Having food chosen for you - Control
Having food chosen for you - Humiliation
Head (oral sex / cunnilingus) to female
Head (oral sex / cunnilingus) to female
bareback
Head (oral sex / fellatio) to male
Head (oral sex / fellatio) to male bareback
Head (oral sex / fellatio) to self (auto-fellatio)
Head (oral sex / fellatio) to you
Head (oral sex / fellatio) to you bareback
Head (oral sex / fellatio) while urinating / also
WS
Head Binding
Head Restraint
Head Shaving (*)
Heat Play (chemical / ointment, Icy Hot, Ben
Gay,)
Heat Play (temperature, wax, cigarette, flame,
cigar)
Heavy men / women - chubby chaser (*)
High heel wearing
High heel worship
Homage with tongue (non-sexual) aka tongue
bath (*)
Hoods
Page 15 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Hoods - Leather
Hoods - Rubber
Hot creams / oils - erotic (on body)
Hot creams / oils - torture (on genitals) (*)
Hot wax - candle
Hot waxing - hair removal
Housework (doing) (*)
Housework (doing nude, in slutty clothing)
Human Animal ( in general )
Human Beast farm animal
Human Canine puppy / dog
Human Equine pony / horse
Human Feline kitten / cat
Human Furry, also fantasy (Kligon, etc.) -
specify in notes
Human Pet (other, specify)
Human Pet Litter Box Training / Use
Human Furniture / Objectification
Human Toilet
Human Urinal
Humiliation (private)
Humiliation (public)
Humiliation (semi-public)
Humilation blackmail (*)
Humiliation verbal (*)
Hypno for age regression, Infantilism
Hypno for age regression, post puberty post
teen
Hypno for age regression, post puberty teen
Hypno for age regression, pre puberty teen
Hypno for age regression, Infantilism
Hypno for Persona training (slave persona) (*)
Hypno for Persona training (*)
Hypno for Personality modification (slave) (*)
Hypno for Personality modification (*)
Hypno for Submission
Hypnotism (subject / tist)
Ice cubes / usually interspaced with heat
Ice Enemas (*)
Immobilization bondage
Including others multiple partners orgy
Infantilism age regression
Inflatable Toys / Dolls (female/male)
Page 16 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Initiations / Gauntlets (harnessing rite of
passage)
Initiation rites ceremony
Injections
Injections saline, scrotum expansion
Insertable Inflatable Toys
Interrogations forced confessions (true or
not)
Intricate (Japanese) rope bondage; Shibari (*)
Jacking off / masturbation
Kali's Teeth Bracelet (chastity device)
[Kegal Exercises www.kegel-exercises.com]
Keloids (cutting and raising scars) / also
scarification (*)
Kicking / Being Kicked
Kidnapping - scene, aka consensual kidnapping
Kissing
Kneeling
Knife play
[Kundalini (Chi)]
Latex Clothing list specific items
Lead on Leash
Leash / Tether
Leash - forced to wear and be lead by
Leather clothing list specific items
Leather paddles (*)
Leather restraints
Leatherman / Leatherwoman
Lectures for misbehavior aka corrective
interview
Leg Irons (*)
Leg Sleeve / Binder
Lent to another Dom (temporary) (*)
Lent to another Dom (temporary) specific skill
training
Licking (non-sexual) (*) [Human Canine]
Licking (floor)
Licking (people)
Licking (toilet bowl / urinal)
Lifting and Carrying cradle style in arms
Lingerie, female (wearing)
Liquid Rubber
Litter box using [Human Feline]
Page 17 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Manacles, Shackles & Irons
Manicures (giving)
Manicures (receiving)
Mantra and meditation
Marks (permanent / temporary)
Massage (receiving)
Massage (receiving)
Masks
Master Worship (physical)
Master Worship (spiritual)
Masturbation (*)
Masturbation - Private
Masturbation - Public
Masturbation - Semipublic
Masturbation with same sex group
Medical Play / Scenes (specify)
Medical Play / Scenes - Physical
Medical Play / Scenes - Fantasy medical
procedures
Medieval devices methods - Specify
Medieval devices the rack
Medieval devices pillory (head, hands)
Medieval devices stocks (hands, feet)
Men in Underwear
Milking (made to produce breast milk)
Milking (masturbation in doggie position,
forced) (*)
Mind Control also hypno
Mind Fucking [radical change from norm to
sensual]
Modeling (solo) for nude / erotic video,
movies porn
Modeling (solo) for nude / erotic
performances live
Modeling (solo) for nude / erotic photos
Modeling (with others) for nude / erotic
video, movies porn
performances live
photos
M/s Master / Mistress / slave
Mouth bits, O rings also Human equine
Page 18 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Mouth guards also Human canine
Mud / Dirt / Oil (*)
Multiple Orgasms
Mummification - elastic wrap / Ace bandage
Mummification - saran wrap (*)
Name change (for scene)
Name change (legal, permanent)
Name change (online)
Neck bindings
Necrophilia (arousal by someone in corpse like
state, or corpse)
Needle Play
Nipple / tit whipping
Nipple clamps (Tit clamps *)
Nipple enlargement / pumping vacuum
Nipple enlargement / rubber bands
Nipple enlargement / weights
Nipple play / torment / "torture" / TT (*)
Nipple Piercings - bars (gage)
Nipple Piercings - rings (gage)
Nipple play - pulls, tugs, twists
Nipple Sucking / Biting
Nipple weights
Non Penetrative Sex
Nymphomania (abnormal sexual appetite)
O Kee Pa (the sun dance / the buffalo dance)
Objectification (being property, furniture, other
objects)
Oil / Grease (*)
Oral play bareback
Oral/anal play (rimming) giving
Oral/anal play (rimming) giving, bareback
Oral/anal play (rimming) receiving
Oral/anal play (rimming) receiving, bareback
Oral Sex (see Head*)
Oral torture (large gags / tongue clamp /
mouth O ring)
Orgasm control / edging (*)
Orgasm denial
Orgasm On Demand / Command
Other oral play
OTK - over the knee (spanking) (*)
Outdoor scenes
Page 19 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Outdoor sex
Over-the-knee spanking / paddling (*)
Padded sawhorse (bondage)
Paddles (leather)
Paddles (studded)
Paddles (wooden)
Padlocks (Master Locks)
Pain (light, erotic)
Pain (mild / moderate)
Pain (severe / heavy)
Pain Slut
Pearl shower (cum on face)
Pearl shower (cum on face), forced to wear, not
to wipe
Pearl shower (drink own / other's cum)
Pearl shower into food, drink, forced to
consume
Pedicures & foot massages (giving)
Pedicures & foot massages (receiving)
Pelvic Floor Muscle Control
Persona training hypno (*)
Persona training (in scene)
Personality modification hypno (*)
Personality modification (RL)
Phone / text sex (commercial provider)
Phone / text sex (serving Dom's friends)
Phone / text sex (serving Dom)
Piercing (permanent) (specify)
Piercing (temporary, play-pierce) (specify)
Pinching
Pinching - Zipper
Pin wheel / Wartenberg wheel (*)
Piqurer (stabbing someone with small objects
in crowds)
Piss see Water Sports (*)
Plaster Casts
Plastic surgery (permanent mod)
Plastic Wrap / saran wrap (*)
Plushie Fetish
Pony play / slave / Pony boy - girl (*) see
Human Equine
Postillionage (inserting lubricated finger into
anus)
Page 20 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Practice Safe Sex / Safer Sex
Prison scenes
Prisoner - permanently
POW scenes
Prostitution (actual / real)
Prostitution (fantasy)
Prostitution (forced)
Prostitution (public pretense)
Protocol and Rules - always call the Dom,
Master or Sir
Protocol and Rules - always being called boy /
slave
Public exposure / nudity - forced (*)
Public exposure / nudity (*)
Public play
Public use
Public sex
Pumping / Vacuum
Pumping / Vacuum - Anal / Arse / Ass (*)
Pumping / Vacuum - Chest / Tits (*)
Pumping / Vacuum - Cock / Penis
Pumping / Vacuum Scrotum / Testicles / Balls
Punch Fucking (extreme fisting)
Punch Gut (stomach as punching bag)
Punching (beat down)
Punching (controlled)
Punishment (Discipline) Scene
Puppy play / dog slave (*) see Human canine
Pussy - See Genital (*)
Pygmalionism (sex with mannequins, statues,
or blow-up dolls)
Queening (female genitals forced on mouth and
nose)
Queening (ass / anus forced on mouth and
nose)
Rape and Abduction Fantasy (*)
Recorded Scenes - Photographs, Private
Recorded Scenes - Photographs, Public
Recorded Scenes - Photographs, Shared
(limited)
Recorded Scenes - Photographs, for blackmail /
humiliation
Recorded Scenes - Video, Private
Page 21 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Recorded Scenes - Video, Public
Recorded Scenes - Video, Shared (limited)
Recorded Scenes - Video, for blackmail /
humiliation
Religious scenes
Restraints - See Bondage Restraints
Restrictive rules on behavior, also Protocol
Riding crops
Riding the "horse" / the wooden horse
(crotch torture)
Rimming / Ass Licking (*)
Rituals house / family traditions
Rituals - specify
Role-play (General)
Role-play - Age
Role-play - Daddy / son
Role-play - Dog / Puppy
Role-play - Education
Role-play - Interrogation
Role-play - Kidnapping
Role-play - Master/slave
Role-play - Medical
Role-play - Pig [animal]
Role-play - Pig [sex hog]
Role-play - Pony
Role-play - Prison
Role-play - Religious
Role-play - Whore / Prostitute
Role-play - Other - Specify
Roman Shower - vomit
Rope (general)
Rope bondage / tied to other objects
Rope body harness (*)
Rough Sex - specify
Rubber, Gummi, Latex, Spandex, Wetsuits,
Fetish
Rubber / latex clothing
Sacred Sex/Sacred Sexuality / also pagan sex
worship
Sadomasochism, the SM of BDSM
Safe call
Saline injection / infusion (breasts, penis,
testicles, specify)
Page 22 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Saran wrapping / mummification (*)
Scarification (cutting, making scars)
Scarves and Mask Fetish
Scat (*) human on body/face, animal on
body/face, eat
Scat aka brown shower
Scratching - giving
Scratching - receiving
Schoolroom Scenes
Secret sex in public
Sensory deprivation
Sensory deprivation hearing, headphones,
ear plugs
Sensory deprivation sight, blindfolded
Sensory deprivation smell
Sensory deprivation touch (sleep sack, rubber
body suit)
Sensation Play (General)
Sensation Play - Cold / Ice
Sensation Play - Deprivation
Sensation Play - Fire
Sensation Play - Hair Pulling
Sensation Play - Hot Wax
Sensation Play - Needle
Sensation Play - Scratching
Sensation Play - Suction / Vacuum
Sensation Play - Teasing
Sensation Play - Tickling
Serving servitude slave
Serving Domestic as butler / maid (gender
bender)
Serving Domestic as butler / maid (non gender
bender)
Serving Domestic as bartender / barmaid / bar-
back
Serving Domestic as chauffeur
Serving Domestic as cook / chief
Serving Domestic as houseboy / houseboi
Serving Domestic as valet
Serving Domestic as Waiter/Waitress (gender
bender)
Serving Domestic as Waiter/Waitress (non
gender bender)
Page 23 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Serving as boot black / Leather care
Serving as dancer / belly dancer or stripper
Serving Object as ashtray
Serving Object as furniture (foot stool, chair,
table)
Serving Object as living art
Serving Pet as pony / puppy - see human
animal
Serving - Following Orders / Obedience Training
Serving - Forced
Serving - Sexually
Serving as toilet (human toilet) (feces/shit/scat)
Serving as urinal (human urinal)
(piss/urine/WS)
Serving orally (sexual) (*)
Serving other doms (supervised) (nonsexual)
Serving other doms (supervised) (sexual)
Serving other doms (unsupervised) (nonsexual)
Serving other doms (unsupervised) (sexual)
Sex in scene
Sex without S/M
Sex - Anal
Sex - Chastity / Denial
Sex - Denial while teasing sexually
Sex - Fellatio
Sex - Group/Orgy
Sex - Outdoors
Sex - Penetration, Double [2 objects]
Sex - Penetration, Triple [3 objects]
Sex - Public
Sex - Rimming
Sex - Threesome
Sex - Vanilla
Sexual addiction
Sexual deprivation Chastity (long term) (*)
Sexual deprivation Chastity (short term) (*)
Sexual intercourse with older man
(Alphamegamia)
Sexual intercourse with older person
(Gerontophilia)
Sexual intercourse with older woman
(Anililagnia)
Sexual Sadism
Page 24 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Sex Toys - Beads
Sex Toys - Butt Plugs
Sex Toys - Dildos
Sex Toys - Love Eggs / Ben-Wa Balls
Sex Toys - Public (Under Clothes)
Sex Toys - Strap On
Sex Toys - Vibrators
Sharps Play
Shaving or any other hair removal process
Shaving (below neck)
Shaving (body hair, chest, legs, thighs, abs,
stomach, arms)
Shaving (facial hair)
Shaving (genital hair, pubes, penis, scrotum,
butt, anus)
Shaving (head hair)
Shaving specifically shaving as method
Shaving using chemical depilatories
Shibari Intricate Japanese rope bondage (*)
Short Men/Women
Showers - Brown
Showers - Golden
Showers - Pearl (*)
Single tail whip (light / sensual)
Single tail whip (moderate / heavy)
Sitting at feet
Skinny-dipping
Slapping face (*)
Slavery / illegal kidnapping, blackmail
Slavery / consensual
Slave Marking
Sleep deprivation
Sleep at feet (in bed)
Sleep on floor (beside bed)
Sleep sacks (*)
Sleeping Bondage (heavy)
Sleeping Bondage (light)
Slings
Slutty / humiliating clothing (private)
Slutty / humiliating clothing (public)
Slutty / humiliating clothing (semipublic)
Slutty / humiliating clothing, specify specific
items
Page 25 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
S/M without sex Sadomasochism (the SM of
BDSM)
Smoking fetish
Sneezing fetish
Soap in mouth
(punishment for bad language, disrespect, or
lie)
Sounds (Penile / Urethral) *
Sound and Speech restrictions (total quiet) (*)
Spandex clothing
Spanking
Spanking by hand
Spanking Heavy / Punishment - Discipline
Spanking Light / Erotic
Spanking - Leather paddles (*)
Spanking - Wooden Paddles (*)
Spanking - Belt / Leather Strap
Spanking - Hand
Spanking - On All Fours
Spanking - (OTK) Over The knee (*)
Speculums - Anal
Speculums - Vaginal
Speech restrictions (when, what) (*)
Speech restrictions (slave Protocol)
Speaking in third person
Spitting gop / on body / in mouth
Spread-eagle
Spreader bars (*)
St. Andrew's Cross
Standing in corner (punishment)
Stethoscope - See also medical scene
Stocks / Pillory (head and hands) (head, hands,
feet)
Straight jackets
Strangulation - breath control - also choking
Strap-on-dildos - penetration by
Strap-on-dildos - sucking on
Strap-on-dildos - wearing
Strapping (full body beating) (*) (strop, also
whip)
Submission (private)
Submission (public)
Submission (semipublic)
Page 26 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Suction cups - snakebite kit
Supplying new partners (victims) for Dom aka
fetcher
Suspension (horizontal)
Suspension (inverted)
Suspension (upright)
Suspension partially touching floor (on toes)
Suspension by hook
Swallowing feces (shit)
Swallowing semen (cum)
Swallowing urine (piss)
Swapping (with one other couple / couples)
Swinging (multiple couples)
Switching roles (Top / bottom)
Tampon Training (in anus / ass)
Tantra / Tantric and Taoist sex
Tall Men/Women
Tattooing - permanent ink
Tattooing temporary / henna
Teasing - sexual frustration and chastity
Teasing - sexual
Temperature Play (hot vs cold / alternating)
TENS Unit (electrical toy)
Thin Men/Women
Threesomes (group sex Menage a Trois)
Thumb Bondage
Thumb-cuffs (metal)
Thumbscrews
Tickling
Tit - see Nipple (*)
Tit torture - TT (*)
Toe Sucking (shrimping)
Top/bottom
Topping from the bottom
Torture - specify
Total Power Exchange (TPE) 24/7
Training with a second / bottom
Training with a second / Top
Triple penetration - specify
Uncircumcised Men
Uniforms
Uniforms law enforcement
Uniforms military
Page 27 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Uniforms other specify
Uniforms school boy / girl
Uniforms scouts
Upskirt, Stockings, Nylons, Pantyhose Fetish
Urethral Play
Urethral Sounds (metal rods) (*)
Use of non-verbal Safe words / Safe signals
Use of Safe Words
Vacuum Body Bag/Vacuum Bondage Bed
Vacuum pump (cock, cock / balls, nipples,
anus, etc.)
Vanilla sex - state specifically
Verbal Abuse - degradation
Verbal humiliation
Vibrator (external) / Vibrator on genitals
Vibrator (internal) / Vibrator on / in ass
Video (recordings of you) (*)
Video (watching others)
Video Porn (watching)
Video Recorded Scenes
Violet Wand (electrical toy)
Voyeurism (watching others)
Voyeurism (watching partner w/others)
Water sports (WS) aka golden showers (*)
Water Sports / Urine / Piss (*)
Water Sports - drinking (*)
Water Sports - wetting oneself / another
wetting you (*)
Water Sports - forced to wear pissed
underwear / clothes
Water torture
Wax play - hot / cold wax
Waxing (hair removal) (*)
Wearing symbolic jewelry
Webcam sex (commercial provider)
Webcam sex (serving Dom's friends)
Webcam sex (serving Dom)
Weight gain (forced)
Weight loss (forced)
Whartenburg Wheel / Pinwheel (*)
Whipping full body beating (also strop)
Whipping (*)
Whipping - Buggy-whip
Page 28 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Whipping - Bullwhip
Whipping - Cat / Cat O Nine Tails
Whipping - Knotted Whip
Whipping - On Back
Whipping - On Chest / Nipples
Whipping - On Genitals
Whipping - On Legs
Whipping - On Inside Thighs
Whipping - Quirt
Whipping - Signal Whip
Whipping - Stinger
Whipping - Switch (also willow branch)
Whipping - Taws
Wooden paddles (*)
Worship - Boot
Worship - Bottom
Worship - Breast / Chest
Worship - Foot
Worship - Genital
Worship - High Heel
Worship - Master / Mistress / Owner
Wrestling (other subs)
Wrestling (your partner)
Wrestling (w/ opposite your sex)
Wrestling (w/ your sex)
Wrestling into submissive position
Wrestling taking dominate position
Zipper (clothespins on cord / thong)
Zooerasty (sexual intercourse with animals)
Zoophilia (Sexual enjoyment stroking/fondling
of animals)
Relationships monogamy 1 on 1
Relationships polyamory polyandry family
multiple and long term
Relationships other multiple variations use
Notes
Relationships closed no side quests

Relationships semi open trick plays with all
Page 29 of 94
Yes / No 0,1,2,3,4,5 @ Worst 10
Relationships semi open at least one does
not trick
Relationships open anything goes, but you
know who you sleep with
Relationships roommates platonic
Relationships roommates friends with
benefits
List any *permanent* Hard Limits ("no") not

previously mentioned -
List any Soft Limits (0 or 1) not previously

mentioned -
List any greatly desired (5) not mentioned

above -
During the INITIAL time of slave's servitude / training, the following initialed items will be Hard Limits. These may be
dropped at a future time by slave, however, they are binding at the beginning and non-negotiable as any other stated Hard
Limit. They are:
_____ _______________________
_____ _______________________
_____ _______________________
*Limits - Are there any specific scene-related things you will not do?
*At this stage, what do you feel are your absolute limits:
*Write down any other role play activities not mentioned above, which you may be interested to try:
*Fetishes - Are there any specific scene-related things that you really like or dislike? Something that has not been mentioned
above:
Page 30 of 94
[use additional sheets as necessary to respond fully]
Based on and expanded from

By Tammad Rimilia
http://web.archive.org/web/20031204051106/www.thebdsmsite.org/bdsmdownloads.htm
14 MAR 2011
and
Scene Players Questionnaire Adapted by Master Rupert (with thanks to Tammad)
http://replay.waybackmachine.org/20080628161121/http://www.thebdsmsite.org/bdsmdownloads.htm
14 MAR 2011
Page 31 of 94
Part 2 - Additional Information
Be completely honest. You MUST keep your Master informed!
Physical Concerns - Do you have any medical conditions, chronic or otherwise, that require monitoring and
medication or that your partner should know about? (Hemophilia, Asthma, Breathing Problems, Blood Sugar
Issues, Circulation, Epilepsy, weak shoulders, skin allergy to latex, etc.) _________
If yes, please list them and any procedures that your Master might need to be aware of. Also list any warning
signs that will alert him to any problems.
No hit zone if any:
Allergies and how they affect you: Do you have any allergies? ____________
If yes, please list them in order of severity and what must be done when one occurs.
Mental Concerns - Do you have any phobias or mental conditions that your partner should know about? (Fear of
heights, Claustrophobia, MPD, Depression, etc.) _______________
If yes, list what they are, and whether or not this is something you desire to deal with during our sessions
together.
Medications: Are you on any prescription medications or other medical treatment? ____________
If yes, please list what they are, including over the counter / Aspirin within the last 4 - 6 hours, any Prescription
medication you are on, dose, and what the medication is prescribed for.
Surgeries (give as much detail as possible)
Eye Glasses (Y/N) Contacts (Y/N)
Any current medical injuries or problems...(sinuses, pulled muscle. Ect)
Were you ever abused, either as a child or an adult? ____________
Page 32 of 94
If yes, explain, no matter how painful it is to bring it up, give what details you are able, but give enough to
sufficiently describe the abuse.
Do you have any medical conditions and emotional concerns that your partner should know about? Anything
not already mentioned above? (if yes explain below) :
Any previous experience in hypnosis? Any known triggers?
Other Remarks: (safety issues, triggers, etc) Anything else?
*Why and when did you get into the scene:
*What do you seek from your Dominant:
*What do you offer as a submissive (emotionally and spiritually)
=-=-=-
For initial sessions, the slave states that he is interested in the following. Initial any items of interest.
_____ Subservient Role
_____ Work In Service / Household Servitude
_____ Personal Service / Servitude
_____ Intimate slave Servitude [ more follows ]
_____ Bondage
_____ Humiliation
_____ Spanking/Whipping
_____ Threshold Pain
Page 33 of 94
_____ Terror
_____ Rape/Torture
_____ Nipple Torture
_____ Master Worship [ Massage / Kissing / Licking Master's Body ]
_____ Clitoral/Vaginal Torture - Cock/Testicle Torture
_____ Dildos/Sex Toys
_____ Golden Showers/Scat
_____ Public
_____ Outside Observers
_____ Multiple Partners
_____ _____________________________________
_____ _____________________________________
_____ _____________________________________
_____ _____________________________________
During the course of any session, there will be skin to skin contact. Precautions will be taken to ensure that no
exchange of fluids occurs during these times. Condoms, rubber gloves, etc., will be provided *by* the slave for
this purpose.
Page 34 of 94

Submissive BDSM Play Partner Check List 01 34 PDF

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Submissive BDSM Play Partner Check List 01 34 PDF

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Submissive BDSM Play Partner Check List

Part 1 - Interests and Activities

For each item, you need to provide two answers:

= means 5 and Most Memorable 10

Private in a private setting, not always one on one

Real name: ____________________________

Today's Date: __________________________

Age: _________ Birth Year: ______________

I AM CURRENTLY A ____ MALE ____ FEMALE ____ specify:______________

MY GENDER IDENTITY IS ____ MALE ____ FEMALE ____ specify:______________

MY RELATIONSHIP PREFERENCES ARE

Top ___ % Bottom ___ % Switch ___ %

Top ___ % Bottom ___ %

Hetero / Straight ___ % Gay ___ %

Be completely honest. You MUST keep your Master / partner informed!

Relationships closed no side quests

List any *permanent* Hard Limits ("no") not

List any Soft Limits (0 or 1) not previously

List any greatly desired (5) not mentioned

[use additional sheets as necessary to respond fully]

Based on and expanded from

No hit zone if any:

Surgeries (give as much detail as possible)

Eye Glasses (Y/N) Contacts (Y/N)

Any current medical injuries or problems...(sinuses, pulled muscle. Ect)

Were you ever abused, either as a child or an adult? ____________

Any previous experience in hypnosis? Any known triggers?

Other Remarks: (safety issues, triggers, etc) Anything else?

*Why and when did you get into the scene:

*What do you seek from your Dominant:

*What do you offer as a submissive (emotionally and spiritually)

_____ Subservient Role

_____ Work In Service / Household Servitude

_____ Personal Service / Servitude

_____ Intimate slave Servitude [ more follows ]

_____ Threshold Pain

_____ Nipple Torture

_____ Master Worship [ Massage / Kissing / Licking Master's Body ]

_____ Clitoral/Vaginal Torture - Cock/Testicle Torture

_____ Dildos/Sex Toys

_____ Golden Showers/Scat

_____ Outside Observers

_____ Multiple Partners

Anda mungkin juga menyukai

Age: _ Birth Year: ______

I AM CURRENTLY A MALE FEMALE specify:__________

MY GENDER IDENTITY IS MALE FEMALE specify:__________

Top _ % Bottom _ % Switch ___ %

Top _ % Bottom _ %

Hetero / Straight _ % Gay _ %

List any permanent Hard Limits ("no") not