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* 1. What is your age?

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* 2. I identify as

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* 3. The following best describes my current relationship status?

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* 4. Generally I am happy with my sex life

No, it needs work I'm sexually fulfilled
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* 5. Have you ever faked an orgasm

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* 6. I'd describe the emotional intimacy in my life as:

None existant It's completely fulfilled
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* 7. I'm fully aware that my sexual energy is the most powerful and creative energy:

I thought it was just pleasure Yes I'm fully aware of its sacred power
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* 8. I avoid having sex or experience distress during sex because it doesn't live up to the ideals of my culture or belief system.

No never Sometimes Yes this is true
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* 9. At some point in my life I've felt anxiety, shame or guilt about

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* 10. I believe my family obligations have a negative impact on my sex life

Not at all Yes of course
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* 11. I tend to watch pornography to stimulate my arousal during sex or masturbation

No Never Sometimes Yes, porn is vital to get me horny
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* 12. I've fully explored my sensual energy through masturbation and I'm aware of my erogenous zones.

My what? Somewhat I know my sensual self well
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* 13. I'd like to explore my sexual energy further through self pleasure and masturbation:

No thanks, I'm fully explored Yes, I think I'd benefit from that
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