1. Gender

2. Age

3. Marital Status

4. How would you rate your level of sexual desire?

5. Why do you have sex?

6. How many sexual contacts do you have per month with your partner?

7. Is your number of sexual contacts per month

8. How would you rate the sexual aspects of your primary relationship?

9. If Female, Do you have conerns with

10. If Male, do you have