Adultery?

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* 1. What is your gender?

Female

Male

Other (please specify)

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* 2. How old are you?

under 20

20-29

30-39

40-49

50 or better

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* 3. Have you ever had sex with someone other than your spouse while married?

No

Yes, but not intercourse.

Yes, including intercourse.

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* 4. Have you ever had a spouse have sex with someone else?

No

Yes, but not intercourse.

Yes, including intercourse.

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* 5. Optional Comment