* 1. Over the past 4 weeks, how often did you feel sexual desire or interest?

* 2. Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest?

* 3. Over the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity or intercourse?

* 4. Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you reach orgasm?

* 5. Over the past 4 weeks, when you had sexual stimulation or intercourse, how difficult was it for you to reach orgasm?

* 6. Over the past 4 weeks, how satisfied have your been with the amount of emotional closeness during sexual activity between you and your partner?

* 7. Over the past 4 weeks, how often did you experience pain or discomfort during intercourse?

* 8. Over the past 4 weeks, how satisfied have you been with your overall sexual life?

* 9. Please provide your email address for your personal wellness program recommendations.

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