The Erotic Dominance Intensive for Women: Player's Course Questionnaire

ALL INFORMATION IS CONFIDENTIAL AND WILL NOT BE RELEASED TO ANY OTHER ORGANIZATION

Your Name:
Mailing address:
Home Telephone Number:
Cell Phone Number:
Best phone number and time to call:
Email address:
Your Partner’s Name:
Your Partner’s email address:

Please let us know:

1. What is your experience in private SM play and/or Erotic Dominance?

How long?
With your current partner?
Casual scene friends?
Other?

2. What are your favorite roles and activities as a Dominant?

3. Have you ever experienced submission or bottoming?

4. What is your sexual orientation?

5. What is your style? Example: Mistress, Trainer, Bitch, Switch, Bondage Top, Sadist, etc.

7. Do you want to bring a partner to this weekend workshop? If so please share questions 17-19 for them to answer.

7. Will it work for you to attend a course with people of different sexual orientations?

8. Previous classes, seminars, or workshops you have attended in BDSM?

9. Books you have read on BDSM?

10. Educational videos you have seen on BDSM?

11. Have you attended play parties?

12. Please list, in order of importance to you, what you wish to learn from the Intensive.

13. Do you connect your SM practices with your spirituality?

14. What is your age?

15. Do you have any medications or conditions of which we should be aware?

16. Do you have any questions or concerns?

For your partner:

17. What is your experience as a bottom and/or submissive?

18. Please list, in order of importance to you, what you wish to learn from the Intensive.

19. Do you have any medications or conditions of which we should be aware?

Please copy and paste this into a word processing program (or click here to download an MS Word document). Then email your completed questionnaire back to . I will call you and give you an opportunity to ask any and all questions regarding the Course. I am looking forward to your reply and our phone conversation.

In Leather Pride with Heart,
Cléo Dubois