| What is your gender? |
|
| What is your age? |
|
| Where do you currently
live? |
|
| Please estimate
your annual household income ( US dollars). |
|
| Which of the following
best describes your occupation? |
|
| How long have
you been married? |
|
| What is your sexual preference? |
|
| How many children do
you have? |
|
| How frequently do you
have sex? |
|
| How would you compare
your current sex life to your first year of marriage? |
|
| Have you or your
significant other had any form of permanent birth control? |
|
| If Yes, what type
of permanent birth control have you or your significant other had? (then
skip next 2 questions) |
|
| Do you currently
use some form of birth control? |
|
| What form of birth
control do you most often use: |
|
| Is your partner aware
of your sexual fantasies? |
|
| Have you ever
paid for sexual acts? |
|
| Do you subscribe
to any source relating to sex? |
|