Below is a list of D/S activities that you may find helpful in guiding your servitude. This is a list meant to be filled out by you, the submissive, for My use. The list should be used as follows:

• Indicate for each item how you FEEL about that activity by rating it on a scale of 0 to 5 or as a NO. A response of NO means you will NOT do that item under any circumstances. A zero indicates you have no desire to do that activity (in fact, may loath it) but you are willing to do it to please Me. A response of 5 means the activity is a wild turn-on, with the other numbers indicating some level in between.
• Indicate for each item your level of experience by rating it on a scale of 0 to 5. A zero means no experience at all, 1 means you have tried it once or twice, 5 means you are very experienced. You may omit those items to which you answered NO in the previous column.