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Sex and Being Single Survey

Use the drop down arrow to select the response that best relates to your current situation.

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?
What is your relationship status?
Are you currently sexually active?
How frequently do you have sex?
What is your sexual preference?
Do you currently use some form of protection?
Is your partner aware of your sexual fantasies?
Have you ever paid for sexual acts?
Do you subscribe to any source relating to sex?
What is your top reason for using protection?
List the types of sexual activities you engage in (choose all that apply)
Kissing Holding Hands
Hugging Fondling
Oral Sex Giving Oral Sex Receiving
Intercourse Anal Sex
Multiple Partners S&M
Hard Core Watching Sexual Activity
Masturbation Other
What sources have you used relating to sex? (choose all that apply)
None Magazines
Video Internet
Strip Clubs XXX Theatres
For each of the following statements, use the criteria listed that best describes your views towards sex.
Strongly Agree Agree Unsure Disagree Strongly Disagree
My use of protection depends upon my partner's willingness
I often fantasize about having sex with other people
Sex is very important to me
I enjoy sex
I am satisfied with my current level of sexual activity
Intimacy is more important than sex
Who I am with is more important than our sexual performance
I believe in waiting until I get married to have sex
I waited until I was married to have sex
I am concerned about getting AIDS
I use adequate protection to prevent getting AIDS
I have negative feelings towards sex
I am okay with other's being homosexual
Religion plays a strong factor in my sexual lifestyle
Thank you for taking the time to complete this survey. Select Submit Survey now to send your responses to us.

This questionnaire was created by Perseus SurveySolutions for the Web.