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Human Sexuality Survey

Page One

1. Gender

2. Age This question requires a valid number format.

3. Married Currently?

4. Married Previously? (if you are married currently, were you married prior to this one)

5. Are you currently in a relationship?

6. How many previous relationships have you had? This question requires a valid number format.

7. If you are in a current relationship, how long have you been in it? (in years, so 3 months would be .25 of a year) This question requires a valid number format.

8. Sexual Orientation

9. How important is penis size to you? (0 to 10 scale, 0=Not important at all, 5=Undecided, 10=Absolutely) This question requires a valid number format.

10. How important is breast size to you? (on a 0 - 10 scale)
0 = Not at all, 5 = Undecided, 10 = Absolutely) This question requires a valid number format.

11. How old were you when you first had intercourse? (Put 0 if you have not yet had intercourse) This question requires a valid number format.

12. If you have had intercourse, how much did you enjoy your first intercourse experience? (on a 0 to 10 scale)
(0 = Not at all, 5 = Undecided, 10 = Absolutely) (if you have not had intercourse, please leave this question blank) This question requires a valid number format.

13. How many times do you feel you should go out with someone before you have sex with them? This question requires a valid number format.

14. On average, how many times per month do you masturbate? This question requires a valid number format.

15. On average, how many times per month do you orgasm (either with a partner or through masturbation)? This question requires a valid number format.

16. What is your favorite sexual position?

17. What is your favorite sexual behavior/activity?

18. On average, how often do you have sexual intercourse in a year? This question requires a valid number format.

19. How many sexual partners have you had in your lifetime? This question requires a valid number format.

20. Of those partners counted in the question above, how many were you in love with when you had sex with them? This question requires a valid number format.

21. What are some of the things that you were told about sex that you later found out were not true? (for example, "You can't get pregnant if..." or other types of misinformation)?