Here is a modified list of activies I should like to explore.  Before we engage in any play you must go over and check all items.  Activities which are of special interest to you shall be highlighted by you.  These items as well as items marked Maybe will be discussed in full detail upon our first session.  You may make requests about things not listed.
You may either print out a copy and bring it with you as well as attach it in your reply via email.  We will not meet until I received this completed in full. 
I have placed an asterisk beside my most favoured activities.

Yes  	No!  	Maybe  	Fetish Activities:
_____ 	_____ 	_____ 	24/7 (Total Power Exchange)

_____ 	_____ 	_____ 	Anal Sex (Receiving)
_____ 	_____ 	_____ 	Arse (Ass) Play*

_____ 	_____ 	_____ 	Asphyxiaphilia (Breath Play)
_____ 	_____ 	_____ 	Biting*

_____ 	_____ 	_____ 	Blindfolds
_____ 	_____ 	_____ 	Bondage*

_____ 	_____ 	_____ 	Branding*
_____ 	_____ 	_____ 	Breast/Nipple Torture, Clamps, etc.*

_____ 	_____ 	_____ 	Candle Wax
_____ 	_____ 	_____ 	Chains

_____ 	_____ 	_____ 	Chastity Devices
_____ 	_____ 	_____ 	Chinese Balls/Ben Wa Balls/Anal Beads

_____   _____    _____   Cleaning up after Izzy Jaks (domestic chores)*
_____ 	_____ 	_____ 	Cling Film
_____ 	_____ 	_____ 	Cock and Ball Torture, Clamps, etc.*

_____ 	_____ 	_____ 	Collar and Lead/Leash
_____ 	_____ 	_____ 	Confinement/Caging*

_____ 	_____ 	_____ 	Cross Dressing*

_____ 	_____ 	_____ 	Cupping (Suction of the Skin)
_____ 	_____ 	_____ 	Dacryphilia (Arousal from Tears)

_____ 	_____ 	_____ 	Denim

_____ 	_____ 	_____ 	Depilation/Shaving/Waxing*
_____ 	_____ 	_____ 	Dildos (Handheld & Strap-ons)*

_____ 	_____ 	_____ 	Discipline*

_____ 	_____ 	_____ 	Domination
_____ 	_____ 	_____ 	Exposure to Izzy Jaks live-in or other boys****

_____ 	_____ 	_____ 	Exhibitionism/Sex in Public
_____ 	_____ 	_____ 	Face Slapping

_____ 	_____ 	_____ 	Fire Play

_____ 	_____ 	_____ 	Fisting*

_____ 	_____ 	_____ 	Food Play
_____   _____   _____   Gifts/Shopping (I’ve been requested multi times to add this option)

_____ 	_____ 	_____ 	Gangbangs

_____ 	_____ 	_____ 	Hair Pulling*
_____ 	_____ 	_____ 	Handcuffs/Shackles

_____ 	_____ 	_____ 	High Heels*
_____ 	_____ 	_____ 	Humiliation

_____ 	_____ 	_____ 	Infantilism/Diapers
_____   _____    _____  Interaction With Other Males** 

_____ 	_____ 	_____ 	Klismaphilia (Douching/Enema)

_____ 	_____ 	_____ 	Lace/Lingerie

_____ 	_____ 	_____ 	Masks
_____ 	_____ 	_____ 	Masochism

_____ 	_____ 	_____ 	Massage*

_____ 	_____ 	_____ 	Masturbation
_____ 	_____ 	_____ 	Nipples

_____ 	_____ 	_____ 	Oral Fixation
_____ 	_____ 	_____ 	Oral Sex (Receiving)

_____ 	_____ 	_____ 	Pain**
_____ 	_____ 	_____ 	Pantyhose/Stockings

_____ 	_____ 	_____ 	Participating in Erotic Photography
_____ 	_____ 	_____ 	Pinching*

_____ 	_____ 	_____ 	Play Piercing
_____ 	_____ 	_____ 	Podophilia (Foot Fetish)* Please clarify clean or dirty

_____ 	_____ 	_____ 	The Rack/Medieval Devices
_____ 	_____ 	_____ 	Retifism (Shoes or Boots)

_____ 	_____ 	_____ 	Rubber
_____ 	_____ 	_____ 	Sadism**

_____ 	_____ 	_____ 	Scent (please indicate sweet or sour)
_____ 	_____ 	_____ 	Sensory Deprivation*

_____ 	_____ 	_____ 	Spanking/Paddling*
_____   _____   _____    Spitting*
_____   _____    _____   Stomping/Trampling*

_____ 	_____ 	_____ 	Talking Dirty

_____ 	_____ 	_____ 	Tickling
_____ 	_____ 	_____ 	Tongue Fetish

_____ 	_____ 	_____ 	Toys
_____ 	_____ 	_____ 	Transvestism

_____ 	_____ 	_____ 	Urolagnia (Water Sports/Urine)
_____ 	_____ 	_____ 	Vibrators

_____ 	_____ 	_____ 	Voyeurism
_____ 	_____ 	_____ 	Whips*
MASTER'S CONDITIONS:: to be filled in person
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SLAVE'S CONDITIONS:: (please include issues/allowances around marks and areas)
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