Session Negotiation & Readiness Questionnaire

Session Negotiation & Readiness Questionnaire
Full Name*

First NameLast Name
E-mail*

Confirmation Email
Age*
Your References*
Last session date/time, alternate emails, or other details that will expedite your verification. If you do not have references explain why.
Discovery Call*

MonthDayYear
A brief 15-30 minute call together. I will Email you to confirm or give you an alternate time.
Discovery Call Time*

I am based in PST. The time should be submitted in PST

AM/PM Option
How did you find me?*
Which city are you applying for?

Session Negotiation & Readiness Questionnaire
As an Experiential Art Therapy BDSM session includes a wide array of activities involving a negotiated transfer of power between consenting, caring partners, the submissive should fill out this questionnaire to the best of their abilities so that Ms. K may carefully assess all fears and limits before constructing, and participating in, the dynamic.

	1	2	3	4	5	Notes
Rituals
Teasing
Humiliation
Hypnotism
Objectification
Serving as furniture (forniphilia)
Doing housework
Serving other Dommes (supervised)
Serving other Dommes (unsupervised)

	1	2	3	4	5	Notes
CNC
Forced bi
Fantasy rape
Forced nudity
Prostitution (fantasy)
Auctioned (fantasy)
Voyeurism
Exhibitionism
Age play
Financial domination
Fantasy vore
Blind folds
Gags
Hoods
Pet play
Asphyxiation (breath play, choking, etc)
Face sitting/ass worship/smoothering (Your mouth stays closed in my presence)
Documenting play (your face is hidden)