INAF19040820 ḏḥw.

ty/Θώθ

ROPE NEGOTIATION
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Preferred Name: _____________________ ) Role: ________________________
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Next to each item, circle either Y (yes) or N (no) for whether or not you want it, and rate it
1-5 on how much you enjoy or think you would enjoy that activity.

ROPE
Activity Do you want? Enjoyment (1-5)

Floor Bondage Y|N

Suspension Bondage Y|N

Transitions in Suspension Y|N

Torsion in Suspension Y|N

Semenawa (Tormenting Rope) Y|N

Suuchinawa (Shameful Rope) Y|N

Hair Rope Y|N

Mouth Rope Y|N

Crotch Rope Y|N

Finger/Toe Rope Y|N

Do you have any experience in rope bondage? If yes, what experience?

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IMPACT
Activity Do you want? Enjoyment (1-5)

Slapping Y|N

Dragon Tail Y|N

Single Tail Y|N

Caning Y|N

Rough Body Play Y|N

Do you have any experience with the above impact activities? If yes, what experience?
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If you want any of the above impact activities, are there any issues you could forsee
arising, and where do you not want to be hit?
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GENERAL KINK
Activity Do you want? Enjoyment (1-5)

Blindfold Y|N

Gag Y|N

Sensory Deprivation Hood Y|N

Gas Mask Y|N

Do you have any experience with the above kink activities? If yes, what experience?
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Have you had any issues with the above kink activities before? If yes, what issue, and
how should we work to mitigate it happening in our scene?
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SEXUAL
Activity Do you want? Enjoyment (1-5)

Light Kissing Y|N

Heavy Kissing / Kissing With Tongue Y|N

Breast Touching (over clothes) Y|N

Breast Touching (bare / under clothes) Y|N

Butt Touching (over clothes) Y|N

Butt Touching (under clothes) Y|N

Vagina Touching (over clothes) Y|N

Vagina Touching (under clothes) Y|N

Fingers in Mouth Y|N

Vaginal Fingering Y|N

Anal Fingering Y|N

Oral Sex (receiving) Y|N

Oral Sex (giving) Y|N

Vaginal Sex Y|N

Anal Sex Y|N

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What was the date of your last STI/BBP test?

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What STI’s/BBP’s were tested for?

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If you tested positive, what for and what treatments have you had?
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What safer sex practices do you usually engage in?

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Have you had a possible exposure to any STI’s/BBP’s recently?

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What are you trying to get out of this scene?

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What do you want the mood of this scene to be?

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Do you have any health concerns that could interfere with the scene or that I should
know about?
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Do you have any experience in a scene like this? If so, what did you enjoy and what did
you dislike?
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