DOM INTEREST & SCREENING FORM
This form is for Dominants interested in a submissive-only dynamic. Please answer honestly and in detail so compatibility, safety, and expectations can be assessed.
DOM INFORMATION
Basic information to understand who you are and how to contact you regarding this potential dynamic.
Full name (as it appears on ID)
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Preferred name / scene name
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Age (must be 30+)
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General location (city, state, or region, )
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Preferred communication method
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Text Message
Email
Voice calls
Video calls
Other
I confirm that I am of legal age and able to give informed consent to participate in BDSM and D/s activities in my jurisdiction.
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Yes, I confirm
No / I am not sure (do not submit this form)
EXPERIENCE & IDENTITY AS A DOM
Your history in the lifestyle and how you understand and express your Dominance.
How long have you identified as a Dominant?
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Please Select
Less than 1 year
1–3 years
3–5 years
5–10 years
10+ years
Still exploring / not sure
How did you first enter or discover the BDSM lifestyle?
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How do you primarily identify within BDSM?
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Dominant
Master
Daddy Dom
Owner
Service-focused Dominant
Other
How would you describe your Dominant style? (Select all that apply.)
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Authoritative / strict
Nurturing / caretaking
Service-oriented
Sadistic
Mentor / coach-like
Collaborative / egalitarian outside of scenes
Ritual / protocol-focused
Other
If you selected Other for your Dominant style or identity, please explain.
INTENTIONS & AVAILABILITY
What you are looking for and how available you are for a submissive-only dynamic.
What type of dynamic are you primarily seeking?
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Casual / play partners only
Ongoing but not 24/7
Structured long-term dynamic
Potential 24/7 D/s
Still exploring / open to discussion
What forms of dynamic are you open to?
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In-person only
Long-distance only
Hybrid (in-person and long-distance)
Online-only (no in-person contact)
How would you describe your general availability for a submissive-only dynamic?
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Very limited (a few hours per week)
Moderate (regular weekly time)
High (frequent contact and involvement)
Variable / depends on schedule
LOGISTICS & STRUCTURE
How you prefer to structure interactions, routines, and agreements.
Preferred times and days for interaction (messages, calls, scenes, etc.)
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How open are you to regular check-ins and protocols?
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I prefer clear, consistent daily protocols and check-ins
I like some structure but with flexibility
I prefer minimal formal protocols
Open to discussing and designing together
Are you open to using written agreements (e.g., rules, expectations, or a D/s contract) to clarify structure?
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Yes, I prefer written agreements
Possibly, depending on the dynamic
No, I prefer informal verbal agreements only
CONSENT, SAFETY & ETHICS
These questions are essential. Please answer thoughtfully and in detail. Focus on how you protect consent, safety, and well-being in a D/s dynamic.
How do you typically approach consent and negotiation before scenes or new activities?
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How do you use safewords or other signals in your dynamics?
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If a submissive expresses discomfort, fear, or wants to slow down/stop, how do you respond?
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What does aftercare look like to you, and how do you ensure your submissive is emotionally and physically supported after intense interactions?
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Have you ever had a serious boundary, consent, or safety issue in a previous dynamic? If so, what happened and what did you learn from it?
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CONTRACT & POWER DYNAMICS
Your understanding of D/s contracts and how you hold power responsibly.
What does a D/s contract or written agreement mean to you?
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What areas do you believe a D/s contract or agreement should cover? (For example: limits, communication, protocols, privacy, sexual boundaries, play types, time commitments.)
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How often do you believe a D/s contract or agreement should be reviewed or renegotiated?
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Every few weeks
Every few months
Annually
Only when one of us requests changes
Other (please explain below)
If you selected Other or want to elaborate on contract review and renegotiation, please explain.
EMOTIONAL INTELLIGENCE & COMMUNICATION
How you communicate, handle emotions, and manage conflict in a D/s context.
How do you communicate your expectations, rules, and feedback to a submissive?
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How do you typically respond when a submissive shows emotional vulnerability (e.g., anxiety, insecurity, overwhelm)?
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How do you prefer to handle conflict, misunderstandings, or hurt feelings in a dynamic?
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LIFESTYLE / SUPPORT
Questions about lifestyle support and how you approach responsibility and care.
Are you open to discussing any form of financial or practical lifestyle support within a dynamic (for example, helping with expenses, tasks, or resources)?
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Yes
No
Case by case
If you are open to any form of financial or lifestyle support, how would you approach this responsibly and ethically?
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COMPATIBILITY & VALUES
What you value in a submissive and in a healthy D/s relationship.
What qualities and values do you look for in a submissive?
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How do you define a healthy, sustainable D/s dynamic?
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What are your non-negotiable boundaries or hard limits within a D/s dynamic?
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FINAL CONFIRMATION
Please confirm your understanding of this form and your consent to share this information for screening purposes.
Please confirm the following statements:
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I understand that this form is for screening and compatibility assessment for a potential submissive-only D/s dynamic.
I am providing honest and accurate information to the best of my knowledge.
I consent to the information I provide here being used to evaluate compatibility and safety for a potential dynamic.
Is there anything else you would like to share, clarify, or emphasize that has not been covered above?
Signature
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