This free survey is powered by QUESTIONPRO.COM
0%
Exit Survey »
 
 
1. What is your relationship status?
 
Single/Never Married
 
Single/Divorced
 
Divorced/Remarried
 
Married
 
In A Relationship
 
Widowed
 
 
 
2. Have you ever had ANY sexual contact with a member of the same sex?
 
No-not interested
 
No-but have considered it
 
No-but have come close
 
No-but planning to
 
Yes-planning to again
 
Yes-but will not again
 
 
 
3. Have you ever cheated on a spouse/partner?
 
No
 
No-but considering it
 
No-but came close
 
Yes
 
Yes-but not current partner
 
Yes-with member of opposite sex
 
Yes-with member of same sex
 
 
 
4. Have you ever participated in any form of cybersex?
 
No
 
No-never will
 
Yes
 
Yes-will again
 
 
 
5. If you answered YES to the last question, what type of cybersex have you had? (check all that apply)
 
Chat sex
 
Cam sex
 
Email sex
 
Pictures sex
 
Phone sex

 
 
 
6. Are you satisfied with the status of your current sexual status?
 
No
 
Yes
 
Yes-some parts of it
 
 
 
7. How often do you masturbate?
 
Never
 
Daily
 
Several times a week
 
Once a week
 
Every couple of weeks
 
once a month
 
 
 
8. What are your feelings on oral sex?
 
I don't like giving or receiving
 
I like receiving but don't like giving
 
I like giving but don't like receiving
 
I like giving and receiving
 
 
 
9. What are your feelings on group sex?
 
Not interested-one partner at a time is all I want
 
Like threesomes with 2 women-1 man
 
Like threesomes with 2 men-1 woman
 
Like threesomes with all same sex (all men or all women)
 
Like more than 3 participants (orgy)
 
 
 
10. What are your feelings toward voyeurism/exhibitionism?
 
I like to watch
 
I like to be watched
 
I like to watch and be watched
 
This survey is completely anonymous. Your participation is appreciated, and will be used in the development of a series of sexual books by a prominent sex therapist. By participating, you agree to be willing to receive other surveys by email. If you complete all surveys in series, you will receive a complimentary collection of sexual series books developed from these surveys. Your participation is completely voluntary. No one will call you or send you unsolicited mail or products. Thank you for your participation.
Survey Software Powered by QuestionPro Survey Software