📝 BDSM Scene Negotiation Worksheet
This worksheet is designed to help both partners clearly communicate expectations, limits, and needs before a scene.
🔹 1. Basic Info
Scene Date/Location: _______________________________
Participants’ Names (Scene Names):
Top: ____________________
Bottom: ____________________
Experience Level (circle one):
🔘 New to BDSM 🔘 Some Experience 🔘 Very Experienced
🔹 2. Scene Type & Intention
☐ Light Play
☐ Trying something new
☐ Full/Intense Scene
☐ Roleplay or D/s dynamic
☐ Sexual elements involved?
☐ Yes ☐ No ☐ Maybe (negotiate clearly)
What are we hoping to get out of this scene?
🔹 3. Activities & Limits
Interested Activities (check all that apply):
☐ Impact (spanking, flogging, caning)
☐ Bondage (rope, cuffs, chains)
☐ Sensation play (wax, ice, claws, etc.)
☐ Roleplay or protocol
☐ Power exchange / D/s dynamic
☐ Humiliation / degradation
☐ Sensual play
☐ Breath control
☐ Other: ____________________________
Hard Limits (not allowed under any circumstances):
Soft Limits (maybe with the right context or more experience):
No-touch Zones (body parts that must not be touched):
🔹 4. Physical & Emotional Considerations
Relevant health info (injuries, disabilities, meds, etc.):
Emotional triggers or sensitive areas to avoid:
🔹 5. Safe Words / Signals
Verbal Safe Word System (choose one):
☐ Red = Stop
☐ Yellow = Slow down / check in
☐ Green = All good
Nonverbal signal (if gagged or non-verbal):
🔹 6. Aftercare
Aftercare needs for the bottom:
☐ Water
☐ Blanket
☐ Quiet time
☐ Reassurance / cuddles
☐ Debrief
☐ Other: ____________________________
Aftercare needs for the top:
☐ Quiet time
☐ Space
☐ Check-in later
☐ None
☐ Other: ____________________________
How should we check in post-scene (next day)?
☐ Text ☐ Call ☐ In-person ☐ No follow-up needed
🔹 7. Final Agreement & Check-in
✅ Do both parties understand and agree to everything listed above?
✅ Is there enthusiastic consent for all activities planned?
✅ Are both people sober, aware, and emotionally stable enough for this scene?
Any last questions or changes before starting?
✨ Remember: Consent is ongoing. Either person can pause or stop the scene at any time, for any reason. ✨