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Female Sexual Satisfaction Survey (After Blissgevity)
1.
What is your age range?
18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65+
2.
What is your current weight in pounds?
3.
What is your height in feet and inches? For example, if you are 5 feet and 4 inches, write 5’4”.
4.
I have had sexual activity within the last 24 hours:
Not at all
Once
More than once
5.
Did you consume Blissgevity on an empty stomach as recommended?
Yes
No
6.
How many pills did you consume:
1 Capsule
2 Capsules
3 Capsules
4 Capsules
5 Capsules
6 Capsules
7 Capsules
8 Capsules
9+ Capsules
7.
My sexual activity involved a partner:
Yes (Continue)
No (Skip to Question 8)
8.
My sexual activity involved intercourse:
Yes
No
9.
I initiated the sexual encounter
Yes (Skip to Question 8)
No (Continue)
10.
My partner initiated the sexual encounter:
Yes
No
11.
On a scale of 0 to 100 I was receptive. (I was ready or willing to receive favorably)
0 Not at All
Somewhat
100 Very Much So
Clear
12.
I became easily aroused:
0 Not at All
Somewhat
100 Very Much So
Clear
13.
On a scale of 0 to 100 my vaginal lubrication (wetness) was:
0 Absent
Average
100 A Great Deal
Clear
14.
I normally achieve orgasm during sexual activity:
Yes
No
15.
On a scale of 0 to 100 I achieved orgasm:
0 With Difficulty
100 Very Easily
Clear
16.
How many orgasms did you experience:
1
2
3
4
5
6+
17.
On a scale of 0 to 100 My sexual experience was:
0 Not Pleasurable
Somewhat Pleasurable
100 Very Pleasurable
Clear
18.
On a scale of 0 to 100 I found sex satisfying:
0 Not at All
Somewhat
100 Very Much So
Clear
19.
In your own words, how would you describe your sexual experience with Blissgevity?
20.
Thank you for taking the time to provide your feedback. Please provide your email address if you would like to receive future updates from Blissgevity including discount codes and promotions:
Email Address
