Bunny Interest Questionnaire
Thank you for your interest in being an Unbound Bunny for our shibari & sound healing experiences. We take an incredibly vested interest in your health, mentally, physically, and emotionally when considering who we work with as our Shibari/Kinbaku Bunnies. Your responses are the beginning of our co-creation and help us gain clarity on the ways in which we can work together as well as what your needs, desires and boundaries are. Please make sure to answer ALL questions truthfully, and all information is kept confidential. We will never sell or expose your information to third parties. All of us at Unbound Ritual look forward to connecting with you! 
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First Name *
Last Name *
Phone Number *
Email *
Preferred Way of Contact *
Pronouns *

What event are you interested in acting as a rope bottom (bunny) for? Are you wanting to be a bunny for a workshop, a prayer-formance or both?

What interests you in shibari and kinbaku? What aspects of Shibari and kinbaku do you enjoy?

Have you practiced Shibari and Kinbaku before? If so where, in what context, in what forms and as a rope bottom or a rope top?

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Do you have a meditation or mindfulness practices?  If so, what?

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Are you open to wearing a bra top booty shorts for the rope scene?

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Do you have valid medical insurance in the location of the event you wish to be a bunny for?

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What physical activity do you practice, if any? Please list all that apply.
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Do you have any medical conditions/concerns or injuries we should be aware of?

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Do you have any psychological or emotional conditions? Please list or describe thoroughly

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Do you have any history of diabetes, high or low blood pressure, stroke, seizure, nerve damage, mobility problems or other serious medical conditions?

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Are you currently on any type of medication? please list any and all medications  *

Do you have an understanding of nerve injury & the other physical, emotional and psychological risks associated with shibari and kibbaku? If so please share a bit about this so we can gain some clarity on what you know.

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Do you have any history of freeze? (Freeze is when you can't voice your needs or ask for support vocally)


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Where and in what ways do you want to be tied?
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What kind of energy do you like in a Shibari/Kinbaku session? (circle all applicable options)

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Required

What areas are off limits for touch?

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What are your boundaries in relation to rope? Please check any activities that are outside your boundaries:


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Required

What do you need/want for aftercare?

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Is there anything else you would like to tell us or discuss?

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