BDSM Pain Questionnaire

 

Physical Pain Questionnaire v1.0

Name:__________________

Age: ____

Do you derive pleasure from pain?

[ ] Yes

[ ] No

[ ] I am curious about experimenting with pain as a means of pleasure

Does the prospect of pain arouse you sexually?

[ ] Yes

[ ] No

[ ] I am curious

Do you derive sexual pleasure from pain?

[ ] Yes

[ ] No

[ ] I would like to try

At what point does/ do you think pain becomes pleasant for you?

[ ] Always

[ ] After being aroused mentally

[ ] During foreplay

[ ] During sexual relations

[ ] When my body is at maximum sensitivity/ after climax

What kinds of stimulation do you find pleasurable/ appealing?

[ ] Blunt

[ ] Sharp

[ ] Hot

[ ] Cold

[ ] Chemical

[ ] Electric shock

[ ] Other

What kind of pain play do you enjoy/ want to try?

[ ] Bunt trauma e.g. Slapping or light beating

[ ] Sharp cutting e.g. Lightly cutting with a scalpel

[ ] Perforation e.g. Needles, staples, tattoo machine

[ ] Burning e.g. Hot wax, fire cupping

[ ] Freezing e.g. Fresh ice cubes, cold burn

[ ] Friction and abrasion e.g. Glass/ sand paper

[ ] Chemical e.g. Stinging nettles, figging

[ ] Epilation e.g. Tweezers, wax or epilator

[ ] Whips, canes or floggers 

[ ] Electric shock

[ ] Other

Upon which parts of the body do you find the infliction of pain most appealing?

[ ] Feet

[ ] Calves

[ ] Back of the knees

[ ] Thighs

[ ] Back of the thighs and buttocks

[ ] Genitals

[ ] Anus

[ ] Abdomen

[ ] Lower back

[ ] Upper back

[ ] Nipples

[ ] Neck

[ ] Arms

[ ] Ears

[ ] Cheeks

[ ] Lips

[ ] Mouth

[ ] Tongue

[ ] Shoulders

[ ] Collar bone

[ ] Other