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* 1. Are you:

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* 2. Age group:

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* 3. Are you in a relationship:

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* 4. How many kids do you have:

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* 5. How often do you have sex?

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* 6. Which ones of the items below decrease your chances of wanting sex (check as many):

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* 7. Which ones of the items below increase your chances of wanting sex (check as many):

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* 8. How would you feel about the 2-minute solution (quick sex focused on biological release for the spouse with higher sex drive):

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* 9. What resources have you tried to bridge sex drive differences so far and what were the results?

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* 10. How would you describe your sex life and what do you think could make it better?

 

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