Enlightened Sexuality Pilot Survey - Dr Lisa Apramian Ph.D., Copyright 2008

1. Instructions and time to complete

COPYRIGHT © 2008 SPIRAL AWAKENING..YOU MAY NOT REPRODUCE THIS SURVEY WITHOUT PERMISSION. SPIRALAWAKENING.COM

Greetings, this survey is for WOMEN ONLY and is part of a large research study. Do not take this survey unless you are a woman. AGAIN, DO NOT TAKE THIS STUDY UNLESS YOU WERE BORN AND REMAIN A BIOLOGICAL WOMAN.

This survey is to help our understanding of women's needs and women's research...if you stop halfway through, your incomplete survey compromises the research. So, it is VITAL that you finish the survey. It takes the average person 45 minutes to complete.

We are planning to shorten the survey in the fall. But for now, if you choose to proceed, please make the commitment. Do not think too much about the answers, answer the first answer that comes to your mind.

SO, please do not start until you have time to take and complete the WHOLE SURVEY in ONE sitting!!!!

This survey is completely utterly totally anonymous, so please answer honestly about your behavior and attitudes so we can learn about women's needs, feelings, and behaviors.

Please encourage as many other women to complete the survey as we are learning important things about women and it will affect our understanding of women. You are an important contributor to this research and your experiences count!

And last, if after completing this survey, you wish to participate in a 4-week free enlightened sex education for you and your partner, OR you and your child/teen, please contact the author, Dr Lisa. The confidential results will be presented at a womens conference this year.

SpiralAwakening@gmail.com

Blessings and thank you.

The gender I relate to is: Femininity	Masculinity	Androgyny	Gender Fluidity (I change gender roles/behaviors fluidly depending on situation)
Other (please specify)

What part of the world were you born in: Canada India Eastern Europe South America Ireland New Zealand	Russia Greenland Iceland UK Austrailia United States	Mexico/Latin America Middle East Africa Europe Asia
Other (please specify)

	0-5	6-10	11-20	21-50	51-100	101-200	201-500	501+
Minimal to no genital touch:	*Number of sexual partner(s) in your life: Minimal to no genital touch: 0-5	Minimal to no genital touch: 6-10	Minimal to no genital touch: 11-20	Minimal to no genital touch: 21-50	Minimal to no genital touch: 51-100	Minimal to no genital touch: 101-200	Minimal to no genital touch: 201-500	Minimal to no genital touch: 501+
Genital touch but no intercourse:	Genital touch but no intercourse: 0-5	Genital touch but no intercourse: 6-10	Genital touch but no intercourse: 11-20	Genital touch but no intercourse: 21-50	Genital touch but no intercourse: 51-100	Genital touch but no intercourse: 101-200	Genital touch but no intercourse: 201-500	Genital touch but no intercourse: 501+
Intercourse:	Intercourse: 0-5	Intercourse: 6-10	Intercourse: 11-20	Intercourse: 21-50	Intercourse: 51-100	Intercourse: 101-200	Intercourse: 201-500	Intercourse: 501+

Chronic physical Diagnosis: Not Applicable Migraines IBS/Crones Ulcers Asthma Arthritis	Cancer COPD Chronic pain Thyroid issues Chronic Fatigue Syndrome Fibromyalgia	Hepatitis Head trauma/cognitive impairment Coronary artery disease Diabetes Epilepsy Spinal Cord injury
Other (please specify)

If yes, which ones: Migraines IBS/Crone's Ulcers Asthma thyroid sleep	pain Not Applicable Hormone replacement therapy Birth control Anti-depressants Anti-anxiety	Anti-psychotic Blood pressure Heart Insulin Cholesterol Anti-seizure
Other (please specify)

Enlightened Sexuality Pilot Survey - Dr Lisa Apramian Ph.D., Copyright 2008
Exit this survey

1. Instructions and time to complete

*
1. Which of the following best describes you?

*
2. The gender I relate to is:

*
3. Age:

*
4. Race: (pick answer that best describes your race)

*
5. What part of the world were you born in:

*
6. Estimate the annual income of your family of origin:

*
7. Estimate your own personal income now:

*
8. Level of Education:

*
9. What is your profession:

*
10. Political Affiliation: (pick the answer that best describes you currently)

*
11. Relationship status:

*
12. I am satisfied with my current relationship status.

*
13. Number of sexual partner(s) in your life:

*
14. Disabilities:

*
15. Psychiatric Diagnosis:

*
16. Chronic physical Diagnosis:

*
17. Are you currently on medication?

*
18. If yes, which ones:

*
19. Alcohol and drug use (check all that apply)

*
20. Have you ever been a victim of domestic violence in your family of origin?

*
21. Were other members of your family victims of domestic violence?

*
22. Have you been a victim of domestic violence as an adult with a current or past partner?

*
23. Spiritual or Religious Affiliation:

*
24. Which holistic activities are you now or in the past involved in?

	Not Applicable	Addiction/Past	Addiction/Present	Recreational/Past	Recreational/Present
Alcohol	*Alcohol and drug use (check all that apply) Alcohol Not Applicable	Alcohol Addiction/Past	Alcohol Addiction/Present	Alcohol Recreational/Past	Alcohol Recreational/Present
Tobacco	Tobacco Not Applicable	Tobacco Addiction/Past	Tobacco Addiction/Present	Tobacco Recreational/Past	Tobacco Recreational/Present
Marijuana	Marijuana Not Applicable	Marijuana Addiction/Past	Marijuana Addiction/Present	Marijuana Recreational/Past	Marijuana Recreational/Present
Meth	Meth Not Applicable	Meth Addiction/Past	Meth Addiction/Present	Meth Recreational/Past	Meth Recreational/Present
Cocaine	Cocaine Not Applicable	Cocaine Addiction/Past	Cocaine Addiction/Present	Cocaine Recreational/Past	Cocaine Recreational/Present
Heroin	Heroin Not Applicable	Heroin Addiction/Past	Heroin Addiction/Present	Heroin Recreational/Past	Heroin Recreational/Present
Ecstasy	Ecstasy Not Applicable	Ecstasy Addiction/Past	Ecstasy Addiction/Present	Ecstasy Recreational/Past	Ecstasy Recreational/Present
Psychedelics	Psychedelics Not Applicable	Psychedelics Addiction/Past	Psychedelics Addiction/Present	Psychedelics Recreational/Past	Psychedelics Recreational/Present
PCP	PCP Not Applicable	PCP Addiction/Past	PCP Addiction/Present	PCP Recreational/Past	PCP Recreational/Present
Huffing/Glue	Huffing/Glue Not Applicable	Huffing/Glue Addiction/Past	Huffing/Glue Addiction/Present	Huffing/Glue Recreational/Past	Huffing/Glue Recreational/Present
Prescription drugs	Prescription drugs Not Applicable	Prescription drugs Addiction/Past	Prescription drugs Addiction/Present	Prescription drugs Recreational/Past	Prescription drugs Recreational/Present

Spiritual or Religious Affiliation: Sufi Spiritual Gnostic Atheist Agnostic Christian Catholic Buddhism	Hindu Islamic Mormon Jewish Scientologist Taoist Wiccan Dianic	Pagan Rastafarian Quaker Jehovah Witness Tantric Cosmology
A Blend (specify)

Which holistic activities are you now or in the past involved in? Raw meat Fruitarian/Breathtarian Organic/biodynamic/nonGMO Vegan/Vegetarian Permaculture Not Applicable	Yoga Meditation Tantra Nutrition Qi Gong/Tai Chi Metaphysics	Shamanism Energy work Martial arts raw food
Other (please specify)

Enlightened Sexuality Pilot Survey - Dr Lisa Apramian Ph.D., Copyright 2008Exit this survey

1. Instructions and time to complete

*1. Which of the following best describes you?

*2. The gender I relate to is:

*3. Age:

*4. Race: (pick answer that best describes your race)

*5. What part of the world were you born in:

*6. Estimate the annual income of your family of origin:

*7. Estimate your own personal income now:

*8. Level of Education:

*9. What is your profession:

*10. Political Affiliation: (pick the answer that best describes you currently)

*11. Relationship status:

*12. I am satisfied with my current relationship status.

*13. Number of sexual partner(s) in your life:

*14. Disabilities:

*15. Psychiatric Diagnosis:

*16. Chronic physical Diagnosis:

*17. Are you currently on medication?

*18. If yes, which ones:

*19. Alcohol and drug use (check all that apply)

*20. Have you ever been a victim of domestic violence in your family of origin?

*21. Were other members of your family victims of domestic violence?

*22. Have you been a victim of domestic violence as an adult with a current or past partner?

*23. Spiritual or Religious Affiliation:

*24. Which holistic activities are you now or in the past involved in?

Enlightened Sexuality Pilot Survey - Dr Lisa Apramian Ph.D., Copyright 2008
Exit this survey

*
1. Which of the following best describes you?

*
2. The gender I relate to is:

*
3. Age:

*
4. Race: (pick answer that best describes your race)

*
5. What part of the world were you born in:

*
6. Estimate the annual income of your family of origin:

*
7. Estimate your own personal income now:

*
8. Level of Education:

*
9. What is your profession:

*
10. Political Affiliation: (pick the answer that best describes you currently)

*
11. Relationship status:

*
12. I am satisfied with my current relationship status.

*
13. Number of sexual partner(s) in your life:

*
14. Disabilities:

*
15. Psychiatric Diagnosis:

*
16. Chronic physical Diagnosis:

*
17. Are you currently on medication?

*
18. If yes, which ones:

*
19. Alcohol and drug use (check all that apply)

*
20. Have you ever been a victim of domestic violence in your family of origin?

*
21. Were other members of your family victims of domestic violence?

*
22. Have you been a victim of domestic violence as an adult with a current or past partner?

*
23. Spiritual or Religious Affiliation:

*
24. Which holistic activities are you now or in the past involved in?