Sex Life Survey
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1. Sex Life Survey
1
. Gender
Gender
Male
Female
2
. Marital Status
Marital Status
Never Married
Married
Separated or Divorced
Remarried
Widowed
3
. Age
Age
Under 30
30-39
40-49
50-59
60 and over
4
. Number of Years in Current Marriage
Number of Years in Current Marriage
Not Married
Less than 1
1-5
6-10
11-15
15-20
Over 20
5
. Number of Times Married
Number of Times Married
Never Married
One
Two
Three
Over Three
6
. I have sex approximately
I have sex approximately
Less than once a year
About six times a year
Once a month
Two to three times a month
Once a week
Two to three times a week
Once a day or more
7
. I would like to have sex approximately
I would like to have sex approximately
Less than once a year
About six times a year
Once a month
Two to three times a month
Once a week
Two to three times a week
Once a day or more
8
. I have cheated on my spouse/partner (for this survey, "partner" is defined as an intimate relationship greater than a year in length).
I have cheated on my spouse/partner (for this survey, "partner" is defined as an intimate relationship greater than a year in length).
Yes
No
9
. I had an emotional affair (love but no sex) while committed to another.
I had an emotional affair (love but no sex) while committed to another.
Yes
No
10
. My sex life is satisfying.
My sex life is satisfying.
Not at all True
Sometimes True
Always True
11
. I find it easy to remain monogamous.
I find it easy to remain monogamous.
Not at all True
Sometimes True
Always True
12
. I fantasize about a variety of partners on a regular basis.
I fantasize about a variety of partners on a regular basis.
Not at all True
Sometimes True
Always True
13
. It's hard for me to imagine getting my needs met by only one lover.
It's hard for me to imagine getting my needs met by only one lover.
Not at all True
Sometimes True
Always True
14
. I had an affair and I regret it.
I had an affair and I regret it.
I did not have an affair
I regret my affair
I do not regret my affair
15
. If you cheated: Cheating made it easier for me to stay in my primary relationship.
If you cheated: Cheating made it easier for me to stay in my primary relationship.
Yes, cheating made it easier for me to stay with my primary partner.
No, cheating made it more difficult for me to stay with my primary partner.
16
. I believe that my partner has cheated on me.
I believe that my partner has cheated on me.
Yes
No
Maybe
17
. If my partner has cheated on me, I'd rather not know about it.
If my partner has cheated on me, I'd rather not know about it.
I agree, I'd rather not know.
I don't agree, I'd rather know about it.
18
. If my partner had an affair:
If my partner had an affair:
Our relationship would be over.
I would try and work it out.
19
. I would be interested in opening my marriage if my partner was willing.
I would be interested in opening my marriage if my partner was willing.
Yes
No
Maybe
20
. My zipcode:
My zipcode:
21
. If you had an affair, tell us about it.
If you had an affair, tell us about it.
22
. If you were cheated on, what was it like for you?
If you were cheated on, what was it like for you?
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