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Medical/Sexual/kink Questionnaire - 11/12/2008 9:01:05 AM   
somethndif


Posts: 136
Joined: 1/1/2004
Status: offline
My girl, submissive with me and Domme with others, and I are doing a medical scene tonight with a new, young, eager submissive.  We will be co-topping her tonight.  

We want to start by taking a medical/sexual/kink "history" of her and we were wondering if anyone had a questionnaire covering one or more of those topics that we might look over and adapt for our own use tonight. 

Thanks,

Dan
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RE: Medical/Sexual/kink Questionnaire - 11/12/2008 12:05:54 PM   
RealSub58


Posts: 1073
Status: offline
Sorry dude, I have no knowledge of one but.....if you have had an appointment at an MD office, this might give you an idea of something to ask. Or try searching the site for someone into medical kink and ask if they have one.

(in reply to somethndif)
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RE: Medical/Sexual/kink Questionnaire - 11/12/2008 12:57:59 PM   
FRSguy


Posts: 653
Joined: 9/4/2007
Status: offline
Should be fairly easy to put together but so damn time consuming.  You can use the list they have here on CM of likes and dislikes just phrased in a have you recently queston. You can get some other ideas of those medical sites where they ask you the yes no questions.

(in reply to RealSub58)
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RE: Medical/Sexual/kink Questionnaire - 11/12/2008 7:59:13 PM   
Jeptha


Posts: 780
Joined: 9/18/2008
From: Portland, Oregon
Status: offline
Sorry I don't have anything handy. Love the idea, though.
You could go with the standard medical (any allergies?, current medications?, when was your last exam, what did you see the doctor for at that time, etc), into a more detailed sexual history.
Could be interesting.
Did you know that the medical history is called the "Anamnesis"?
(Yay, Wikipedia!)
You could also try Googling "taking a psychiatric history", just to poke around for a variety of ideas. That would go more into social and family dynamics, which could also be interesting - or could be ground to avoid, depending on what the goal is!

The Wikipedia article might be a good one to check out;
http://en.wikipedia.org/wiki/Medical_history

(in reply to somethndif)
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RE: Medical/Sexual/kink Questionnaire - 11/19/2008 9:16:59 AM   
somethndif


Posts: 136
Joined: 1/1/2004
Status: offline
If anyone is interested, here is what I developed on my own, cribbing from a number of sources.  Feel free to use it or adapt it to your needs.  It is meant to be humorous. 

SEX AND BDSM QUESTIONNAIRE

Name

Date of Birth

Your sex

Height

Weight

Married, single, living with someone?

Education?

Medical conditions, problems, issues?





Sexually attracted to only the opposite sex?

Sexually attracted mostly to the opposite sex and
         sometimes sexually attracted to the same sex?

Sexually attracted equally to both sexes equally?

Sexually attracted mostly to the same sex and
         sometimes sexually attracted to the opposite sex?

Are you currently in a sexual relationship or relationships?
         If yes, with whom and when did it or they start? 

Is your current sexual relationship(s) with
         A man?
         A woman?
         A dog, pony, donkey or another of God’s creatures? 
         Other?

How many previous sexual relationships have you had?

For each previous sexual relationship, was it with:
         A man? 
         A woman?
         A dog, pony, donkey or another of God’s creatures? 
         Other?

How long did each previous sexual relationship last?

At what age did you first have sex with a partner of the opposite sex?
        
At what age did you first have sex with a partner of the same sex?

How many orgasms have you had in past 24 hours?
         With a man?
         With a woman?
         With a dog, pony, donkey or another of God’s creatures?

Number of orgasms in the past month?
         With a man?
         With a woman?
         With a dog, pony, donkey or another of God’s creatures?

Number of partners for oral sex during your life?
         Men?
         Women?
         Dog, pony, donkey or another of God’s creatures?

Number of partners for sexual intercourse during the previous month?
         Men?
         Women?
         Dog, pony, donkey or another of God’s creatures?          

Number of partners with whom you reached orgasm during past 24 hours?
         Men?
         Women?
         Dog, pony, donkey or another of God’s creatures?

Number of partners with whom you reached orgasm during previous month?
         Men?
         Women?
         Dog, pony, donkey or another of God’s creatures?


Number of partners with whom you reached orgasm during your lifetime?   
         Men?
         Women?
         Dog, pony, donkey or another of God’s creatures?

How many times have you been stimulated by erotica in the past month?
         Straight?
         Gay Male or lesbian?
         Interracial?
         Other?

When compared to the average, do you feel that you masturbate more or less often?

Number of times you masturbate in an average week?

What is the most sexually arousing thing you have done:
         In the past week?
         In the past month?
         In your lifetime?

Have you:
         Masturbated?

         Used toys or vibrators?
                   On or in your cunt?
                   On or in your ass?
                   On your breasts or nipples?
                   On other parts of your anatomy?

         Been fucked? If yes, by a cock, or by a strap-on?
                   By a man?
                   By a woman?
                   By a dog, pony, donkey or another of God’s creatures?

         Sucked a cock? 
                   If yes, has a man cum in your mouth?  Did you like it?
                   Have you swallowed cum?  Did you like it?

         Has a man cum on your face, breasts, ass or another part of your body?
                   Did you like it?


         Had your cunt licked?
                   By a man?
                   By a woman?
                   By a dog, pony, donkey or another of God’s creatures?

         Licked a cunt?
                   A woman’s?
                   A dog, pony, donkey or another of God’s creatures?

         Being ass-fucked?
                   By a man?
                   By a woman?
                   By a dog, pony, donkey or another of God’s creatures?

         Licked or tongue-fucked someone’s ass?
                   A man?
                   A woman?
                   A dog, pony, donkey or another of God’s creatures?

         Had your ass licked or tongue-fucked by someone?
                   A man?
                   A woman?
                   A dog, pony, donkey or another of God’s creatures?

         Had sex with more than one person? 
                   If yes, how many times? 
                   For each time, how many persons?
                   For each time, were the others all of the same sex? 
                             Both sexes? Can’t remember?

         Had interracial sex?
                   With which races?
                   For each occasion, with a man, a woman, a group, can’t remember?

When did you first have an orgasm?
         How did you have your first orgasm?

Have you had an orgasm by:

         Masturbation?

         Vibrators?

         Fucking? If yes, by a cock, or by a strap-on?
                   By a man?
                   By a woman?
                   By a dog, pony, donkey or another of God’s creatures?

         Having your cunt licked?
                   By a man?
                   By a woman?
                   By a dog, pony, donkey or another of God’s creatures?

         Being ass-fucked?
                   By a man?
                   By a woman?
                   By a dog, pony, donkey or another of God’s creatures?

         Nipple or Breast play or torture?

         From other pain? 
                   If yes, what was the instrument or means used?
                   Was the pain self inflicted, or by someone else?

         Some other way?  If yes, explain.

Have you had an orgasm with a member of the opposite sex?

Have you had an orgasm with a member of the same sex?

Are you currently in a BDSM relationship? 
         If yes, with whom and when did it start?

Have you had previous BDSM relationships? 
         If yes, with whom and how long did each of them last?

When did you first have an interest in BDSM? 
         Describe your first interest.

Do you identify as submissive, dominant, switch or unsure?

Have you been bound or restrained? 
         By whom?
         When was the first time?
         Did you have an orgasm?
         Did you enjoy it?

Have you been spanked?
         Which parts of your body?
         By whom?
         When was the first time?
         Did you have an orgasm?
         Did you enjoy it?

Have you been whipped or flogged?
         Which parts of your body?
         By whom?
         When was the first time?
         Did you have an orgasm?
         Did you enjoy it?

Have you been caned?
         Which parts of your body?
         By whom?
         When was the first time?
         Did you have an orgasm?
         Did you enjoy it?

Have you been paddled?
         Which parts of your body?
         By whom?
         When was the first time?
         Did you have an orgasm?
         Did you enjoy it?

Have you clips or clamps or clothes pins used on you?
         Which parts of your body?
         By whom?
         When was the first time?
         Did you have an orgasm?
         Did you enjoy it?

Have you been blindfolded, gagged or hooded?
         By whom?
         When was the first time?
         Did you have an orgasm?
         Did you enjoy it?


Have you been bruised?
         On what part or parts of your body?
         By whom?
         When was the first time?
         Did you have an orgasm?
         Did you enjoy it?

Have you been suspended?
         By whom?
         When was the first time?
         Did you have an orgasm?
         Did you enjoy it?

(in reply to somethndif)
Profile   Post #: 5
RE: Medical/Sexual/kink Questionnaire - 11/19/2008 10:41:28 AM   
tied2bteased


Posts: 8
Joined: 3/25/2005
Status: offline
to Somthingdiff I'd add some stuff about caths, and enemas, when was the last vaginal exam and what was the reason. When was the last period, and pregnancy? do you ever have trouble with bowel movements? Have you ever had a vaginal infection, fibroids,  or tubal ligation?

here is a link to some information: http://www.bondage.com/which/233/show_column.html


< Message edited by tied2bteased -- 11/19/2008 10:44:22 AM >

(in reply to somethndif)
Profile   Post #: 6
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