Your Name (You may use an alias, if you wish)_________________________________

Preferred e-mail address:_____________________________________________________

Are you willing to answer any follow-up questions we may have regarding your fetish? (all replies will be confidential, please delete the one not applicable): Yes/no 

                                      Personal details

Age:__________________________________________________________________________

Location(City, Country):______________________________________________________

Occupation:___________________________________________________________________

What is your fetish?:


How did you discover this aspect of your life?:


Have you ever indulged your desires for this fetish? (please delete the one not applicable): Yes/no

If yes, please describe in as much detail as you wish (you may be graphic) the first time you acted on your fetish:



If no, what has stopped you from acting on your fetish?:



Do you still practice your fetish?(please delete the one not applicable): Yes/no

If no, why have you stopped practicing your fetish?:



Have you ever lost a partner because of your fetish?:



Have you ever sought to "cure" yourself of your fetish?:



In as much detail as you feel comfortable with, please describe your biggest fantasy related to your fetish:


Similarly, describe the best sexual experience you have had connected to your fetish?:



What are the greatest lengths you have gone to to partake in your fetish?: 



Thank you for completing this form, now please copy an then paste the whole file (or attach if you feel able to) and send to: webmaster@explainyourfetish.com