You can fill out this form over time. When you’re done for the moment, save your work by clicking the “Save changes” button at the end. Later, when you return to this form, your previous entries will be already filled in.
All of the boxes in the questionnaire allow you to enter as much text as you wish by scrolling left to right or vertically. Radio buttons are used for questions where we want just “Yes” or “No” or a similar specific response. Here’s an example of two radio buttons: Yes No
About security: See the “https” at the beginning of this web page’s URL? You may also see a picture of a padlock near the URL bar at the top of the web browser window or at the lower right. Those are your assurance that the information is encrypted in transit, the same way banks do. Only a few people can physically access our server or log on to it. The computer is run by a paranoid, tin-foil-hat guy. Technical comments or questions? Please contact David Schachter.
Questions on the content of this questionnaire? Please contact David Stein.
Please give the full names you wish each member of the household or family to be identified by in the book, using caps or lowercase as you prefer — and if these are not legal names, please give those, too, for reference. While we hope that real names can be used for the most part, requests for confidentiality will be honored by the use of last initials or a pseudonym or nickname.
If there are non-slave members (boy, pet, lover, spouse, and so on), please list them, too (indicating the role or relationship), though the focus of the profile will be on the Master and (male) slave(s).
For each individual listed, please also indicate his (or her) birthdate, both to confirm legal age and to give a sense of the stage of life. If you’d rather not have an exact age printed in the book, also give an approximate age, like “early fifties” or “30something.”
Finally, please give the URLs for any relevant Web sites, blogs, MySpace pages, or other online profiles maintained by household/family members and a note as to which ones, if any, we may publish. We will not publish any of them unless you explicitly authorize it.
Thank you very much for your time! If you have comments about this questionnaire or want to add anything about your relationship(s), please e-mail.