NI Consent Form

ALL FIELDS ARE REQUIRED

Donor Name *

Donor Email *

Recipient Name *

Recipient Email *

I am: *

The Donor
The Recipient

Country *

Sexual Status

Have you had a recent STI screening? *

Yes, I can provide my results
No, but I am willing to get one
No, I am unwilling to get one

Are you active on any dating apps/websites? *

Yes
No

Are you sexually active with others? *

Yes
No

Are you using protection? *

Yes
No

Pre-Insemination Preferences

Do you wish to meet prior to insemination? *

No, not necessary
Yes, I would like to

If yes, how many times would you like to meet? *

Once, prior to the insemination day
On the day of, immediately prior to the insemination
I'd like to meet on more than one occasion

What kind of setting would you like the meet-up to take place in? *

e.g. restaurant/cafe, pub, any public place, NOT at home, etc

Insemination Preferences

Where would you be comfortable with the insemination taking place? *

e.g. hotel, at home, NOT at home, NOT outdoors, NOT in a car, etc

Are there any relevant logistical/unavailability/etc details/issues/requirements? *

Are there any people that the insemination needs to be planned around? *

e.g. housemates, parents, children, etc

Do you have any hygiene or other practical preferences you'd like to mention? *

e.g. shower beforehand required, etc

Are you comfortable with staying overnight? *

Yes
No
I would like to discuss at the time

Sexual Preferences

Do you wish to keep some clothing on? *

e.g. wear a dress that can be pulled up, keep shirts on, keep as much clothing on as possible, etc

Do you require any experience enhancement products? *

e.g. sperm friendly lubricant, Viagra, toys, etc

Are you comfortable with kissing? *

Yes
No

Would you like to do foreplay first? *

Yes
No

Would you prefer to keep it as simple/minimal/basic as possible? *

Yes, just necessary penetration only
No, I'm happy for more interactive sex/sex for pleasure

Would you like to give and/or receive oral sex? *

Yes, give and receive
Yes, receive only
Yes, give only
No oral sex

Would you be happy to give and/or receive manual stimulation *

Yes, give and receive
Yes, receive only
Yes, give only
No manual stimulation

What styles do you enjoy? *

You can select multiple

Other styles *

What positions are you comfortable doing? *

You can select multiple

Other positions *

Do you have any kinks/fetishes/personal preferences you'd like to mention? *

Is there anything you absolutely do NOT want to do/be done? *

What is your preference around female orgasm? *

Female: I would like to orgasm
Female: I don't want to orgasm
Female: I don't mind either way
Male: I will contribute to female orgasm
Male: I will not contribute to female orgasm

Additional information I would like to share or topics I would like to discuss further

I consent to this information being sent to my donor/recipient and to the Sperm Donation World vault. *

I have read the above and consent to the sharing and saving of this information

I provide this information as my written consent to the above and agree to adhere to the information provided by the other party participating in natural insemination. *

I have read the above and consent to this agreement

Sexual Status

Pre-Insemination Preferences

Insemination Preferences

Sexual Preferences

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