Negotiation Checklist
Name: Today, I want to be a...
Top Bottom Switch
Playing With:
For Each Activity, Rate Interest There are no right or wrong answers, and you
won’t get everything you want.
Complete it, then discuss. Ask, “What do you mean
5 = Yes, Please!
by…?” (my “heavy impact” may not be yours).
4 = OK
Negotiate before play, especially with new partners
3 = Curious
or new activities.
2 = Maybe
During a scene, it’s safer to remove activities than
1 = Soft Limit
add ones you didn’t agree to.
0 = Hard Limit
Don’t up-negotiate mid-scene.
Consent is informed, enthusiastic, and reversible—
How to Use This Checklist you can pause or stop at any time.
Afterward, feelings may change; regret is real and
This sheet begins negotiation—honest answers deserves care.
help you find overlap. If you realize you didn’t or couldn’t consent, that
isn’t “regret”—it’s a violation.
Debrief together and plan aftercare/check-ins.
Other
Safewords Ratin Notes
g
Ratin
"_____________" Clothing Notes
g
Non-Verbal (discuss) Being Naked
Plain Language Chastity Belt
Red /Yellow/Green Corset
"Safeword" High Heels
Latex Clothing Other
Stripping
Underwear
Other
Ratin
I Want to Feel... Notes
g Power Exchange Ratin
Notes
Beautiful
(D / S) g
Catharsis Choking
Commands /
Controlled
Instructions
Degraded
Humiliation Play
Dominant
Kneeling
Energetic
Leash
Erotic
Orgasm Control /
Helpless Denial
Masochistic Pet Play
Overwhelmed Verbal Degradation
Peaceful Wearing Collar
Platonic Other
Playful
Sadistic
Serious Ratin
Impact Play Notes
Submissive
g
Other Biting
Canes
Clamps
Ratin
Bondage Notes Clothespins
g
Face Slapping
Bench
Floggers
Blindfolds Hair Pulling
Box Tie / TK Heavy
Cages Intro
Cross Light
Decorative Paddles
Floor Bondage Pinching
Gags Punching
Handcuffs Rough Play
Hoods Spanking
Leather Stingy
Mental Thuddy
Metal Cuffs Whips
Restraints Other
Restrictive
Rope
Suspension Ratin
Marks Notes
Table
g
None Temperature Play
For Today Tickling
Wartenberg Wheel
For the Week
Wax Play
Longer (discuss)
Other
Other
Touching, Ratin
Ratin Notes
Role Play Notes Intimacy, Sex g
g
69ing
Boss / Employee
Anal Rimming
Burglar /Victim
Condoms / Dent Dams
Dirty Talk
Consensual Non-
Doctor / Patient Monogamy
Domestic Tasks Cuddling
Forced Exercise Edging
Human Furniture Exhibitionism
Interrogation Face Sitting
Kidnapper / Captive Fluid Exchange
Law Enforcer / Convict Groping
Little Hand Job (Giving /
Receiving)
Non-con
Hands on Genitals
Reading Erotica
Kissing
Royalty / Servant
Lap Dancing
Sexting
Massage
Teacher/Student
Mutual Masturbation
Watching Porn Oral Sex (Giving /
Wealthy / Commoner Receiving)
Other Orgasms
Scissoring / Grinding
Squirting
Ratin
Sensation Play Notes Threesome
g
Toys & Accessories
Biting
Other
Edge Play
Electricity Play
Fire Play Ratin
Penetration Notes
Food Play
g
Knives Anal
Licking Anal Fisting
Nipple Play Fingers
Oils & Lotions G-Spot Play
Pinching Oral
Playing with Hair Pegging
Pressure Points Penis
Scratching Prostate Play
Sensory Deprivation Sex (Anal)
Shaving Sex (Intercourse)
Sex Toys
Strap On _____________________________________________________
Vaginal
Allergies:
Vaginal Fisting _________________________________________
Other
_____________________________________________________
Ratin Safe Call (Trusted Friend or Contact):
Aftercare Notes ________
g
~ ___ - ___ Mins _____________________________________________________
Blanket
Check In Tomorrow
I Do Not Want To Be Touched Here:
Comfort Item
Conversation
Cuddling
Electrolytes
Let Me Be
Massage
Salt
Service
Snacks
Snuggly Clothes
Socialize
Sugar
Water
Other
You Should Know About My:
Partners:
__________________________________________
Any Other Ideas, Limits, Comments,
_____________________________________________________
Details:
Triggers: _________________________________________
_____________________________________________________
Medical Conditions & Meds:
___________________
_____________________________________________________
Injuries:
___________________________________________
_____________________________________________________
STI Status:
________________________________________
__________________________________________________
__________________________________________________
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