Questionnaire

Personal Information

Corporal

Humiliation/Exhibition

Bondage

Torture & Sensory Depravation

Dress & Adornment

Stretching Limitations

Part of the Body
Bondage
Control
Torture
back/shoulders
bottom
breasts/chest
genitals
thighs
tummy
feet
wrists
ankles

General Information

Main Interests

Want to do service? I.e. cleaning, errand running, driving, etc.

How do you feel about punishment?

How do you feel about others in your scenes?

Will do scene:

Who can know of your activities?

What bruises or body marks are acceptable?

Fetishes

Donatella Den

*NOTE: WE DO NOT CONDONE PEDOPHILIA, BESTIALITY, NECROPHILIA OR NON-CONSENSUAL ACTS OF VIOLENCE. ASSAULT AND RAPE ARE PUNISHABLE OFFENSES. THIS SURVEY IS USED AS A RESOURCE TOOL TO GAIN MORE KNOWLEDGE AS TO YOUR EXPERIENCE, AS WELL AS YOUR LIMITATIONS. ALL INFORMATION IS KEPT PRIVATE AND CONFIDENTIAL.**NOTE: THESE ITEMS ARE NOTED AS PERSONAL ACTIVITIES.DISCLAIMER I, HEREBY CERTIFY THAT I AM A SANE AND CONSENTING INDIVIDUAL TWENTY-ONE (21) YEARS OF AGE AND OLDER.I, DO UNDERSTAND THAT THIS IS A PSYCHODRAMA AND ROLE-PLAY SERVICE DEALING IN REALISM AND CREATIVE EXPRESSION ONLY; THAT THERE IS NO NUDITY ON THE PART OF THE DOMINANTS AND/OR ACTS OF PROSTITUTION AND/OR ACTS OF PEDOPHILIA, NECROPHILIA, BESTIALITY CONDONED OR PRACTICED ON THE PREMISES.I PARTAKE IN ANY AND ALL ACTIVITIES AT MY OWN RISK AND THAT I WILL NOT HOLD ANY OF THE STAFF OF DONATELLA DEN IS RESPONSIBLE FOR ANY ACCIDENTAL INJURY THAT I MAY RECEIVE DURING ANY ACTIVITIES OR EVENTS.I AM NOT WORKING ON BEHALF OF ANY GOVERNMENT AGENCY; STATE, LOCAL OR FEDERAL, DURING MY TIME AT THE DUNGEON OF DONATELLA DEN IF I AM, I WILL DISCLOSE THIS INFORMATION SO THAT THAT THE REPRESENTATIVE MAY DIRECT ME TO THE PERSON WHO CAN BETTER ANSWER MY INQUIRIES.I ALSO AGREE NOT TO DISCLOSE ANY WRITTEN, AUDIO OR VISUAL INFORMATION REGARDING DONATELLA DEN OR ITS MEMBERS.