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This checklist came out of a
discussion I led for the Albany, New York Kink Community. The need seemed
genuine and I thought I would give it a try. If you have any comments,
suggestions, ideas, feed back or questions please send them to me
Madam Dragonfly and I will work
them into this list. Please feel free to repost as you wish as long as you
credit it to me and my site.
If you'd like a printable version
of this document click here. COMMING SOON!
These Questions are designed with
safety in mind, safety of both the submissive and the Dominant. Each question
should be answered fully and answers elaborated on as needed.
Section 1: Medications
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Are you on any medications which
can impact on our play? |
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What are those medications? |
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What are they used for? |
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How do you feel they can impact
on our play? |
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If you don't know how they can
impact on our play do you have someone you can ask? |
Section 2: Conditions and diseases
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Do you have any medical problems
which can impact on play? |
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How do those problems affect your
every day life? |
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What are symptoms of a critical
flare up of your disease? |
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If a flare up of this problem
should happen how should I deal with it and what can I do to help you? |
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Are you willing to work out a
plan to deal with any flare ups that may occur while we are playing? |
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If we decide we need further
information on your disease do you have someone you can ask for help? |
Section 3: Past Surgies:
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Have you had any surgeries that
might impact on play? |
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If so how might that occur? |
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If we need further information do
you have someone you can ask for help? |
Section 4: Notes on Medications and
Diseases
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N-SAIDs examples Motrin, Naprosen,
Aspirin, Aleve, Ibuprofen, Vioxx, Celebrex these can cause a person to bruise
quicker and with less force then normal. |
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Anti-histamines examples
Benadryl, Hismanal, Atarax, Actifed, and Seldane. These can cause blood
pressure changes and changes in equalibrium. |
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Any Cardiac (heart) medications.
Can change the blood pressure. |
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Diabetes, Heart Disease and
Asthma are three of the most common diseases to be aware of and need in-depth
discussion as to what can occur and plans made to deal with these diseases in
relation to a scene. |
Section 5:
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This tool is meant as a quick way
to foster discussion between partners it is in no way meant to replace
discussion. |
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This tool is strictly medical in
nature and the coverage of psychological issues should go hand in hand with
any negotiations for play. |
Be Well All and Play Safe.
Madam Dragonfly
Copyright September 3, 2001
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