Do you like to talk after a scene (yes, no, maybe)? Please explain. Please include a list of all prescription and over the counter medications you are currently taking: Visible brusies, cuts, or marks must be avoided (yes or no)? Please list any no hit zones, if any: Do you have any phobias or fears that the Dom/Domme should be aware of (blood, needles, enclosed areas, etc.)? Do you want aftercare (yes, no, only in certain circumstances, unsure, etc.)? Please explain. Medications: Have you taken any medication, including Asprin within the last 4-6 hours (Asprin changes your blood's clotting time). hepatitis A & B or HPV)? How often do you practice safe sex (always, most of the time, some of the time, never)? Please explain reasons for not doing so. Have you ever been exposed to HIV/AIDS? When were you last tested and which STI's were you tested for? (chlamydia, gonorrhea, syphilis, herpes (blood test), HIV, hepatitis, etc.)?ΔΆ Have you received any STI vaccinations (i.e. latex, food, scents, oils, lotions, wool, feathers, animals, medications, etc.): Date: RED: Stop YELLOW: I'm ok but slower/less/careful GREEN: I'm fine, go on, more Do you have any known STI's? Have you ever had any known STI's? If yes, please indicate which type and how it was treated, if applicable. 1 The New and Improved BDSM Checklist Name: Part One: Safety I am mainly into: (D/s, Sadism, Masochism, Bondage, Fetish, Power Exchange, etc)? Saftey Codes: Safeword: Do you have any medical problems/issues (hemophilia, allergies, asthma, breathing problems, blood sugar issues, circulation, heart condition, seizures,etc)? If yes, please give details: List any known allergies (i.e.
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