Yes this is how I screen potential slaves. I am inviting you into My Dungeon to live. I will screen you thoroughly to make sure we are compatible. After I am satisfied you are what I am looking for you will need to come to Thailand, if you are not already here, and live in My Dungeon for a one (1) week trial period so we can see if we are compatible in person also. From there we can come to an agreement for the future. So answer well slave, answer truthfully. The basis of the relationship with your Mistress and your own growth as Her slave demands total honesty and focused attention to all details requested. If you are unable to wholeheartedly give this your focused attention and be honest with your answers, do not waste my time or yours. 

The spacing does not determine the length of your answers. you can have more than one answer. There are no limits, just be completely honest. I have no prejudice. If you have never had training or experience, say so and move on to the next question. Do not leave any questions blank. When finished, copy and paste into an email highlighting your answers and send to MistressJorja@gmail.com.

 

date completed:

legal name:

slave name:

date of birth/age:

contact email:

country located in:

​​

​

Part 1: BDSM and you

​

1. How many years of experience do you have in BDSM?

2. What is your sexual orientation?

    a. heterosexual exclusively

    b. bisexual

    c. bi-curious

    d. gay

    e. open to training controlled by my Mistress?

3. Main interest

    a. sensual and physical

    b. psycho sexual and mental

    c. both equally

    d. serving your Mistress

4. Are you… (yes or no, rate 1-10)

    masochist 

    sadist  

    submissive

5. Your level of interest in bondage:

    a. total helplessness

    b. light bondage

    c. not my favorite thing

    d. outside my limits

    e. never tried it

6. Pain (what you are, or what you are looking for)

    a. pain slut

    b. whipping, caning, paddling

    c. light paddling, sensual whipping, no marks    

    d. not interested

7.  Do others know you are submissive? Do you hide this side of yourself from others?

8. my favorite sexual fantasy is….?

9. Describe the following areas that you have endured. 

    a. wearing a full hood

    b. ass play

    c. bondage 

    d. whipping 

    e. pegging

    f. humiliation

10. Describe one area not mentioned, if any, you have endured.

11. Tell me of your sexual energy ?

    a. i like sex anytime i can get it with multi-partners.

    b. i like sex, but there are other things that are just as important to me.

    c. i like it about three times a week.

    d. once a week is enough for me.

    e. i can live without sex. It is a low priority in my life.  Serving is more important.

    f. i like sex, however i like it in my relationship, outside of a relationship i can live without it. 

12. What are you looking for in a Mistress?

13. How does that manifest for you?​​

​

Part 2: The life of a slave

All answers are expected to elaborate on the subject matter in question. No one (1) word answers are to be given. All answers should be a minimum of one full sentence, preferably a paragraph.

 

1. i seek and require the guidance of a Mistress to….?

(What  being a slave is going to do for you?)

2. i seek and require the guidance of a Mistress because….?

(Why do you feel you have a need for a Mistress?)

3. How important is the fulfillment of these needs to you?

4. i seek to provide my Mistress with….?

(psychologically, emotionally, and sexually.)

5. my concept/definition of ‘submission’ is….?

6. my concept/definition of ‘servitude’ is….?

7. my concept/definition of “commitment’ is….?

8. In what area(s) do you require concentrated training?

9. Are you willing to accept the idea of being trained as the property of your Mistress?

10. Describe how you will serve your Mistress in Her absence.

 The following two questions deal with your current and initial preferences. These two questions may be answered with either a “Yes, Ma'am” or a “No, Ma'am” as long as you elaborate upon them with a minimum of one full sentence:

11. Do you prefer your Mistress to be:

    a. rough, tough, and stubborn?

    b .firm, stern, yet considerate?

    c. something else? What?

12. Do you prefer to:

    a. be commanded and ordered about?

    b. be given a set rules to obey?

    c. know the reason for some commands/orders?

    d. have no say in your training and use?

    e. have input in your training and use?

13. Suppose your Mistress does something which strikes you as being absolutely stupid, irresponsible, or asinine, i.e., something that makes you realize that your Mistress has flaws. How do you believe you would handle this? How do you think it might affect your ability to be submissive to your Mistress?​​

​

Part 3: Dating history

​

1. Write a detailed description of any former trainings and/ or types of scenes you had. Start at the beginning and take it Mistress by Mistress.

2. Describe any vanilla or non BDSM related relationships.

3. Explain any problems with the relationships, including vanilla or non BDSM related relationships.

4. Describe what you did and did not like about previous training experiences, if any.

5. Describe what you did and did not like about any vanilla or non BDSM related relationships.

6. Describe how you have been rewarded and/or punished.

7. Describe any experience you have had as a switch.

8. What has been your most intense scene involved in BDSM?

9.  What is your current marital status ( Do Not Lie)?

10. Have you been married before?

 if yes, very short summary of details what happened, caused it to end:

11. Have you ever been unfaithful to your lover or Mistress?

Describe:

12. Is there any reason why you would not be able to commit 100%?

(past, present or future reason)

13. What is the amount of time (months, years) you can commit to this relationship?

14. Are you opposed to your Mistress having more than one slave?

What about a kennel with multiple slaves?

15. Have you ever intentionally made your sex partner or Mistress mad?

If so why:

Circumstances, frequency:

16. Do you freely admit when you have done something wrong and are you prepared for the punishment?

17. Have you ever submitted to a male?

​

Part 4:  Health

​​​

1. Do you smoke? If so, amount per day?

2. Do you drink? How often? Amount?

3. Do you use drugs? Prescription? Other drugs?

4. Do you have problems controlling your temper?

5. Have you been in a drug or alcohol abuse program?

6. Have you been diagnosed with mental disabilities or disorders?

Describe:

7. Do you have any disabilities (visible or invisible)?

Describe:

8. Can you swim?

9. Do you wear glasses or contact lenses?

10. Do you have any special dietary needs or restrictions?

11. Are you allergic to dogs, cats, or other animals? 

12. What is your favorite color? 

13. Do you have any sexually transmitted diseases? Can you provide an STD screening report from your doctor?

14. Do you have any tattoos or piercings?

15. Do you have problems reaching orgasm? 

16. How often do you masturbate and what methods do you use?

17. What is the most you have come in a 24 hour time period? 

Describe circumstances. 

18. Are you subject to any form of loss of conscience or seizures?

19. Do you have panic attacks or phobias?

20. Do you now or have you suffered from depression?

21. What was your last illness that resulted in hospitalization and when?

22. Have you had any major surgeries?

23. Do you have any medical conditions? 

24. Are you on any medications?

 

​​

Part 5: A little more about you

​

1. Have you violated any law in the past two years?

2. Do you have any strongly felt political or religious beliefs? 

Describe:

3. What personality trait of yours do you think your friends like the most?

4. What personality trait of yours do you think your friends like the least?

5. What is your worst habit, i.e., is there anything you do which you wish you could stop doing?

(bite your nails, grind your teeth, listening to k-pop)

6. Overall, what do you think makes you the sort of person other people want to be around?

7. Title of the last motion picture you saw?

8. What are your musical tastes?

9. What is your current employment? How long have you been there?

10. If not employed, how do you support yourself?

11. What is your work schedule like? 

12. Describe a typical workday. Details, wake-up to sleep with time stamps when possible.

13. Describe your hobbies. What do you do with your time away from work?

14. Describe what social activities you regularly enjoy.

15. Describe a typical weekend or day off. Again, details, wake-up to sleep with time stamps when possible.

16. When was your last vacation?

17. Describe that vacation to me.

18. How many meals a day do you eat?

19. What do you do for meals? Do you cook, eat out, a mixture of both? How much, 80-20, 60-40?

20. Briefly describe your abilities when it comes to handling your personal finances. Are you on track to retire with savings?

21. What are your thoughts about obeying a Mistress’s orders 24/7 in a TPE relationship?

22.Are there any situations in which you think you would hesitate to follow your Mistress’s orders?

23. Do you feel that any current or prior political or religious beliefs will cause you personal conflict with being a slave and obedience?

24. In what areas would you not be willing to defer to your Mistress’s orders? Specifically, control of a slave involves control of his mind. Are there any portions of your thoughts which would be off limits to your Mistress. Explain.

25. Are you willing to enter into an ownership agreement if the chemistry is right? If so, what rights would you, as a slave, insist on being part of such a contract? The one I currently use is available to view on here.

26.What are your biggest fears about becoming a slave to Mistress?

27.What do you look forward to the most about becoming a slave to Mistress?

​​

​​Part 6:  Experience

 

For each item, you need to provide TWO(2) answers:

For experience, write YES or NO next to each item to indicate if you have ever DONE that activity.

For willingness, indicate for each item how you feel about DOING that activity by rating it on a scale of NO or 0 to 5 (if you don’t understand what the item is attempting to describe look it up. Do not leave any blank answers or ?'s.

NO means you will NOT do that item under any circumstances (a hard limit) and that you have absolutely no desire to do this.

0 (zero) indicates you have utterly no desire to do that activity and don’t like doing it (in fact, may loath it) and would ordinarily object to doing it, but you would permit the Mistress to do it if  She truly wanted it. (a soft limit).

1 means you don’t want to do or like to do this activity, but wouldn’t object if it was asked of you.

2 means you are willing to do this activity, but it has no special appeal for you.

3 means you usually like doing this activity, at least on an irregular/occasional basis.

4 means you like doing this activity, and would like to experience it on a regular basis.

5 means the activity is a wild turn-on for you and you would like it as often as possible.

 Note any additional information or nuances which might be important for your Mistress to know. Just because it's on the list does not mean it is something I participate in. *see My kinks and fetishes. 

 

Anal sex (top):

Anal sex (bottom):

If so, ever without condoms?:

Anal plugs (small):

Anal plugs (large):

Anal plug (public, under clothes):

Animal roles:

Arm & leg sleeves (arm binders):

Asphyxiation:

Ass licking (giving):

Ass licking (receiving):

Biting:

Being bitten:

Blindfolds:

Ben wa balls or kegel balls:

if yes, how long did you wear?

Breath control:

Branding:

Bondage (light):

Bondage (heavy):

Bondage (multi-day):

Bondage (public, under clothing):

Cages (locked inside of):

Caning:

Cattle prod or stun gun (electrical toy):

CBT:

Cells/Closets (locked inside of):

Chains:

Chastity belts:

Clothespins:

if you have had them used where?:

Cock sucking:

Do you swallow?:

Collars (worn in private):

Collars (worn in public):

Cuffs (leather):

Cuffs (metal):

Denied privacy:

describe the denial:

Double Penetration (anal and mouth):

Dildos:

Eating Cunt:

Electricity:

Enemas (for cleansing):

Enemas (retention/punishment):

Enforced chastity:

Erotic dance (for audience):

Erotic dance (private):

Examinations (physical):

Exercise (forced/required):

Exhibitionism:

Eye contact restrictions:

Face slapping:

Fear (being scared):

Fisting (anal):

Foot worship:

Forced masturbation:

Forced nudity (private):

Forced nudity (around others):

Forced servitude:

Full head hoods:

Gags (cloth):

Gags (inflatable):

Gags (phallic):

Gags (rubber):

Gags (tape):

Given away to another Mistress (temp):

Servicing another Mistress upon command:

Hairbrush spankings:

Hair pulling:

Hand jobs (giving):

Harnessing (leather and or rope):

Homage with tongue (non-sexual):

Hoods :

Hot Creams (Ben-Gay) on genitals:

Hot oils (on genitals):

Hot waxing:

Housework (doing):

Human puppy dog:

Human Ashtray:

Human Toilet:

Urine?

Scat?

Humiliation:

Ice cubes:

If you have experienced, where?: (nips, ass)

For impact play list your general answer, then answer for the different types of elements.

Immobilization:

If so, how?

Impact play:

Rough body play (punching, kicking, open hand face slapping, etc.):

Spanking (hand, paddles, strops, slappers, belts, etc.):

Caning (batons, canes, sjambok, etc.):

Flogging (cat-o-nine, galley-whip, quirt, flogger, etc.):

Single tail (snake-whip, signal-whip, bullwhip, etc.):

Leather restraints:

Manacles & Irons:

Massage (giving):

Massage (receiving):

Modeling for erotic photos:

Photographing  training sessions with your Mistress:

Mouth bits:

Multi-partners:

Mummification:

Nipple clamps:

Nipple rings (piercing:

Nipple play/”torture”:

if a type not listed then explain:

Nipple weights:

Obeying verbal commands such as “kneel”,  “stand” or “Present”:

Oral/anal play (rimming):

Over-the-knee spanking:

Orgasm denial:

Orgasm control:

Outdoor scenes:

Outdoor sex:

Pain (severe):

Pain (mild):

Piercing (temporary, play-pierce):

Piercing (permanent):

Punishment Scene:

if yes, describe the scene play

Cock & ball torture:

describe torture:

Restrictive rules on behavior:

Rubber/latex clothing:

Rope body harness:

Role playing:

Saran wrapping:

Sensory deprivation:

Serving as furniture:

Serving as a maid:

Serving orally (sexual):

Serving another Mistress (supervised):

Serving another Mistress (unsupervised):

Serving others as sex slave:

Shaving (body hair):

Shaving (head hair):

Slave positions training:

Spandex clothing:

Spanking:

Speech restrictions (when, what):

Spreader bars:

Stocks:

Straight jackets:

Strapping (full body beating):

Strap-on dildo receiving:

Strap-on dildo giving:

Suspension (upright):

Suspension (inverted):

Suspension (horizontal):

Supplying new partners for Mistress:

Swallowing your semen:

Swallowing others semen:

Swapping (with one other couple):

Tattoos:

TENS Unit (electrical toy):

Tickling:

TPE: 

Uniforms:

Vibrator on genitals:

Violet Wand (electrical toy):

Voyeurism (watching others):

Video (watching others):

Video (recordings of you):

Waxing (hair removal):

Whipping:

Wooden paddles:

​

Was there something not on the list?

​

1. What are your known hard limits? 

(anything listed as a No in part 3 should be listed here) 

2. What are your known soft limits?

(anything listed as a 0 in part 3 should be listed here)

3. What are your top three favored?

(OTK spanking, flogging, spreader bars, ...etc.)

​​

​

Part 7: Photos are required

Attach three photos wearing black boxer briefs. you also have permission to block your face in each photo. 1 photo in humble pose , 1 photo in wait pose, and 1 photo in expose pose. Make sure the angle is the same as in the photo on the page Mind your Manners.

​

1. What do you think is your best physical feature?

2. What you think is your worst physical feature?

3. What is your age? 

4. What is your height (do not exaggerate)?

5. What is your weight (again, do not exaggerate)?

6. What is your wingspan? (fingertip to fingertip)

7. What is your reach? (on tip toes to fingertips with hands stretched 

as high above you as possible, really stretch for it)

8. Cock size? Measure. Don't guess. Get that cock hard and measure accurately.

Cut/Uncut

~now that your cock is hard, cum for me.~

​​

Any comments or questions (on any areas) not covered by this questionnaire that you feel are relevant to you that have not been addressed?

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