This form helps to find people that like the same things you do.
1) abandonment
2) Abrasion
3) Worship of hands / fingers
4) Worship of boots / shoes
5) Worship of genitals
6) Foot Worship
7) Worship of high heels
8) Kneel
9) Swallow sperm
10) Swallow other
11) Needles (Insertion)
12) Breath play
13) Gag (scarf)
14) Gag (rubber)
15) Gag (tape)
16) Blindfold
17) Spreader bar
18) Bellypunching
19) Bondage - complex, with strings or other
20) Bondage - light
21) Bondage - heavy
22) Bondage - long period
23) Bondage - in public, as underwear
24) Cage (to be locked in a)
25) Hood (covering the whole head)
26) Straitjacket
27) Catheter (receive catheterization)
57) Caviar
28) Chastity Belt
29) Cell (to be locked in a)
58) Champagne
30) Chastity
31) Be tickled
32) Hot wax
33) Face slaps
34) Collar (worn in private)
35) Collar (worn in public)
36) Competition (with other subs)
37) Orgasm control
38) Breath control
39) Bladder control
40) Correction (soft)
41) Correction (hard)
42) Correction if misbehaving
43) Corset (wear)
44) Caning (receive)
46) Spitting
47) Riding crop
48) Ice cubes
49) Leather (Accessories: belt, bracelet)
50) Lace
51) Dilatation (anal/vaginal)
52) Dildo (suck)
53) Dildo (anal)
54) Dildo (wear a)
55) Dildo (vaginal)
56) Sleep while tied
59) Swinging
60) Scratches (receive)
61) Scratches (give)
62) Electricity
64) Wrapped in cellophane
65) Clothespins on nipples
66) Leather restraint
67) "Pony" slave
68) Ropes
69) Physical examinations
70) Exercise (Mandatory)
71) Exhibitionism (with friends)
72) Exhibitionism (with strangers)
73) Public exhibition
74) Face Sitting
75) Blowjob (give)
76) Blowjob (give) - with the power to withdraw
77) Blowjob (give) - without the power to withdraw
77) Blowjob (receive)
78) Spanking
79) Spanking with belt or strap
80) Anal fisting
81) Vaginal fisting
82) Whip
83) Whipping of breasts
85) Whipping of genitalia
86) Find new partners for your Dom
87) Clothing
88) Harem
89) Leather harness
90) Rope harness
91) Homage with the tongue (non-sexual)
92) Homosexuality
93) Hot oil/wax (on genitals)
94) Humiliation in private
95) Humiliation in public
96) Verbal humiliation
98) Orgy/gang bang
99) Initiation rites
100) sub can't have orgasm
101) Injections
102) Interrogation
103) Age play/role play
104) Look/stare games
105) Pet games/role play
106) Rimming (oral to anal)
107) Lingerie
108) Enema
109) Licking (non-sexual)
110) Wrestling
111) Massage (give)
112) Massage (receive)
113) Masturbation
114) Cuffs (leather)
115) Cuffs (metal)
116) Handcuffs and leg irons
117) Be auctioned
118) Mummification
119) Nipples bitten (have your)
120) Nakedness - naturism
121) Nudity (private)
122) Nudity (public)
123) Obey orders
124) Strong odors
125) Wooden paddles
126) Double penetration
127) Triple penetration
128) Temporary piercing (play-piercing)
129) Piercing (permanent)
130) Take pictures
131) Be photographed
132) Nipple pinching with fingers
133) Breasts clips
134) Breasts weights
135) Shaving (body hair)
136) Shaving (head)
137) Speech restriction/control
138) Sleep restriction/control
139) Hearing restriction/control
140) Visual restriction/control
141) Taste restriction/control
142) Olfactory restriction/control
143) Total restriction/control of the senses
144) Sexual restriction/control (short term)
145) Sexual restriction/control (long term)
146) Rituals
147) Outdoor scenario
148) Jail scenario
149) Medical scenario
150) Religious scenario
151) To be given to another Dom (temporarily)
152) To be given to another Dom (permanently)
153) Chosen food
154) Clothing
155) Branding
156) Be bitten
157) To prostrate
158) To serve
159) To serve as art
160) To serve as an ashtray
161) To serve as a domestic
162) To serve as a furniture
163) To serve as a model for erotic photos
165) To serve orally (sexual)
166) To serve other Doms (supervised)
167) To serve other Doms (unsupervised)
168) Servitude
169) Outdoor sex
170) Indoor sex
171) Anal sex - Insertion of small objects
172) Anal sex - Insertion of large objects
173) Anal sex - Concealed objects to be worn in public
174) Phone sex (for your Dom)
175) Phone sex (for a stranger)
176) Vaginal sex
177) Vaginal sex - Insertion of large objects
178) Abandonment simulation
179) Speculums (anal)
180) Speculums (vaginal)
181) Suspension (upright)
182) Suspension (upside down)
183) Suspension (horizontal)
184) Tattoos
185) Hair pulling
186) Water torture
187) Torture of the genitals
188) Torment
189) Cleaning/House work
190) Uniforms
191) Leather clothing
192) Latex/rubber clothing
193) Spandex clothing
194) Sexy clothing (in private)
195) Sexy clothing (in public)
196) Vibrator on genitals
197) Video (watch)
198) Video (make)
201) Voyeurism (watching strangers)
202) Voyeurism (your Dom with others)
Check list primary source: http://cercleo.blogsome.com

Secondairy source: http://mehere.free.fr/

Other additions and modifications: The Slave Market (thanks you all)
Give a score from 0 to 5 for each activity. Those scores are used when searching for partners to find the most compatible.

To the submissive: to answer this form is to give yourself and your Dom/Master an occasion to explore your most secret fantasies, to seek and find what makes you tick, what scares you and where are your hard limits. For now at least... Because those numbers will move with time and experiences. Some will go up, some will go down.

To the Dominant: answer this form AS IF YOU WERE THE SUBMISSIVE YOU ARE SEEKING, so you will be prepared to talk about what you want, to prepare yourself about questions he/she might ask you and to be open to new possibilities. Both for yourself and your partner.

When combining the submissive's and the Dom/Master's answers (who will answer as the sub he/she is seeking), a compatibility score will be calculated.

0 (zero) says you don't want to practice this activity, that it's a hard limit or it simply does not apply to you.
1 (one) says you don't like this activity, but will be willing to engage in it if asked.
2 (two) says you will engage in this activity even though you don't like it that much.
3 (three) says you like this activity from time to time. Not an everyday thing.
4 (four) says you like this activity and like to engage in it regularly.
5 (five) says you like this activity so much you want and/or need to engage in it as often as you can.