Note: Please use the back of the form if additional space is needed.1.People______________________________________________________
2.Roles_______________________________________________________
3.Place_______________________________________________________
4.Time________________________________________________________
5.Oops________________________________________________________
6.Limits______________________________________________________
7.Sex_________________________________________________________
8.Intoxicants_________________________________________________
9.Bondage_____________________________________________________
10.Pain________________________________________________________
11.Marks_______________________________________________________
12.Humiliation_________________________________________________
13.Safewords___________________________________________________
14.Opportunities_______________________________________________
15.Follow-Up___________________________________________________
16.Anything Else?_____________________________________________