Mistress  Annabel's BDSM Profile
 
During and after sessions you are expected to display proper courtesy and respect, and to respond verbally each and every time you are spoken to.  You are forbidden to do anything without instructions or permission.  If you have questions, you may ask permission to speak.  Unless told otherwise, Mistress DOES allow you to freely  compliment her.  We also allow you to beg for mercy or favours which, of course, are at Mistress' discretion.
 
Print this form (or save as a file) and fill it out completely.
 
Date:
Location:
 
The purpose of this profile is to help me understand how City Chambers can best meet your needs; it will also assist me in guiding you further in the future.  Please be honest and accurate as possible when filling it out.  D/S is a two-way street.  Honest and clear communication makes it work.
 
Name (first name, last initial):
Preferred date and time of session:
Where did you hear about this establishment?:
Have you ever been here before, and if so, how many times?:
Age:
Marital status:
Sexuality (straight, bi, gay, lesbian, transsexual, etc):
Where are you from?:
Have you had anything to drink? (if so, how much?):
Health status:
Do you have any medical condition that we should know about, that may affect you during a session:
 
 
Are you claustrophobic? (if yes, in what way?):
Do you have any child abuse issues?:
Do you wear contact lenses?:
Can you be marked?  for a few hours   /    a day    /    several days    /    not at all   
How long have you been interested in D&S / S&M / Fetishism?:
How did your interest originate?:
How often do you 'play'?:
How many professional have you seen before?:
Do you have any fetishes? (please list them):
Briefly describe your favourite fantasy and/or activity: 
 
 
What do you hope to accomplish here with me??:
 
 
Do you have any long term goals? (in this regard):
 
 
Where appropriate in the next section, underline the item(s) 1, 2 or 3 times to indicate your level of interest.  If it is something you have only fantasized about, circle or highlight the item as well.
 
What attire do you prefer for your Mistress? (please underline):

leather    latex    PVC    patent leather    spandex    satin    lace    corset    garters    skirts    dresses    business suit    uniform (specify)    boots (knee high, thigh high, riding)    shoes (high heels, stilettos, platform)    bare feet    stockings    panty hose    tights (fishnets, sheer, nylon, sparkly, black, red, white)

 
Do you require that Mistress wear any particular attire for your session today? (specify):
 
 
Do you wish to wear any particular attire today?:
 
 
What best describes you in your scene (please underline):

passive recipient of mixed sensations (including bondage)    slave    pet    submissive    forced submissive    naughty boy/girl in need of discipline   
naughty slut   
other..........................................................................               

 
Please choose one:
A:    I wish to be proud of my submissive status
B:    I wish to be humiliated for my submissive status
 
I enjoy the following types of role-playing (please underline):

nurse/patient    teacher/student    trainer/slave    guard/interrogator/prisoner    trainer/dog/ horse     aunt/naughty boy/girl    Mistress/maid or servant    Goddess/sex slave    torturer/victim    Mistress/slave     pimp/whore   
gender reversal   
other..............................................................................

 
I wish to play the ........................................................... role today
 
I enjoy the following head space in a scene:
A:    suffering to please Mistress
B:    rite of passage (personal growth)
C:    expiation of guilt
D:    suffering against my will
E:    used for Mistress' pleasure, regardless of my own feelings
F:   other (specify)
 
I prefer the Mistress be (please underline):

kind    understanding    demanding    critical    condescending    unapproachable    cold    detached    passionate    cruel    humourless    playful    sensuous    sadistic    crude    refined    superior    gentle    rough    volatile    sexually aggressive  
other.................................................................................

 
I enjoy the following activities (please underline):

humiliation    teasing    exhibitionism (private, semi-private, fetish party, public)    verbal degradation    forced degrading acts    showers (on face, chest, cock, mouth)    enemas (quick cleaning, forced retention)    forced swallowing of my own cum    anal penetration (dildo, fisting, penis)    forced bi-male (oral, anal)    toilet training (golden, brown)    human furniture (chair, table, footstool, statue)    equestrian training    household chores   
other...............................................................................   

 
Cross dressing - I enjoy the following items (please underline):

wigs    foundation    eye make-up    lipstick    nail polish    bras    panties    corsets    waist-clinchers    garters    stockings    nighties    slips    high heels    camisole tops    mini-skirts    long skirts
other.................................................................................

 
I enjoy the following body-worship activities (please underline):

foot licking    toe sucking    boot/shoe licking    ass worship    breast worship    finger licking/sucking    dildo sucking    caressing    massaging   

 
I enjoy the following S&M activities (please underline):

face slapping    body slapping    smothering    tickling    trampling    punching    hair pulling    chocking    kicking    trampling    cock & balls torture (whipping, crushing, clamps, prickling, weights)    nipple torture    scratching    biting    spit on    pinching    play piercing   cutting    violet wand    PES or TENS shock unit    hot wax    corporal punishment

other.................................................................................

 
I enjoy the following discipline activities (please underline):

English style discipline    over-the-knee spanking    made to hold the position    hand strapping    restrained discipline

other.................................................................................

 
With the following implements being used on me? (please underline):

hand    hair brush    ruler    wooden paddle    leather paddle    school strap    wide strap    cane    riding crop    cat o' nine tails    quirt    signal whip

other.................................................................................

 
On the following parts of my anatomy? (please underline):

hands    feet    buttocks    back of legs    back    genitals    testicles    penis

other.................................................................................

 
I enjoy the following types of bondage (please underline):

leather straps    rope    mummification    strait-jacket    leather body bag    inflatable rubber body bag    inverse suspension    flying suspension

other.................................................................................

 
Which of the following props do you enjoy? (please underline):

gags    hood    inflatable hoods    blindfold    gas mask    nipple clams    catheters    posing harness    C&B restraints/weights    butt plugs/dildo's    arm binders    hot wax    TENS unit    violet wand

 
Are there any specific props you wish to be used in your session today?:
 
 
 
Are there any specific apparatus you wish to be restrained by in your session today?:
 
 
 
Please be sure to fill out this feedback section after the session.  Your comments and feeling are important to me.
 
Was this what you expected?  Was it as good or better than you hoped?:
 
 
How was it different from what you expected?:
 
 
What, if anything, would you have changed?:
 
 
What did you like best about your visit today?:
 
 
What do you think you would like to do, next time you visit?:
 
 
Final thoughts?: