Before Scene: Interview
Author: Norische
Filed in: negotiation, play, scene, checklistInterview
Name: __________________________________________________________________
Age ____________ Gender___________ Sexual Orientation ____________________
How Top wishes to be addressed. ____________________________________________
I am mainly into : (D/s, Sadism, Masochism, Bondage, Fetish, Power Exchange)
Safety Codes:
Red: Stop
Yellow: I\'m ok but slower/less/careful
Green: I\'m fine, go on, more
Safeword:
Visible bruises/cuts/marks must be avoided (Y/N):
Heath Issues: (Hemophilia, Allergies, Asthma, Breathing Problems, Blood Sugar Issues, Circulation)
Allergies and how they affect you.
Medications: Have you taken any medications, including Aspirin within the last 4 - 6 hours.
Please include any Prescription medication you are on.
Current Medications, dose, and what the medication is prescribed for.
Medical Conditions (give as much detail as possible)
Surgeries (give as much detail as possible)
Eye Glasses (Y/N)
Contacts (Y/N)
Any current medical injuries or problems...(sinuses, pulled muscle. Ect…)
No hit zone if any:
Phobias or Fears:
Other Remarks: (safety issues, triggers, etc)
I want aftercare (Y/N)
I like to talk after a scene (Y/N)
I want extensive verbal communication during a scene (Y/N)
I want music during the scene (Y/N)
Sexual Contact (Y/N)
Clothing
Fully Clothed
Shirt Off
Underwear Only
Fetish Clothing
Nude
Limits:
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