Answers marked with a * are required.
 
1. What is your sexual identity? *
      

 
 
 
2. What is your sexual orientation (whom you are attracted to)? *
      

 
 
 
3. What is your age? *
      

 
 
 
4. Have you ever engaged in uncommitted, casual sex?
      

 
 
 
5. At what age did you first have sex? (Includes oral, coitus and anal sex)
      

 
 
 
6. What is the total number of sex partners you have had?
      

 
 
 
7. How many sex partners have you had in the past 12 months?
      

 
 
 
8. ASSUMING you masturbate, how often do you masturbate?
      

 
 
 
9. Do you approve/enjoy pornography? (pictures, videos, magazines, etc)
      

 
 
 
10. Have you ever been a part of coercive sex, either as the aggressor or the victim?
      

 
 
 
11. If you have engaged in coercive sex, please explain.
 
 
 
12. Have you ever engaged in sex with a same sex partner?
      

 
 
 
13. Have you ever had sex with more than one other person at the same time? (3some etc…)
      

 
 
 
14. Have you ever “cheated” on your partner?
      

 
 
 
15. Have you ever had sex in a public place, with the risk of getting caught?
      

 
 
 
16. Do you enjoy giving oral sex?
      

 
 
 
17. Have you ever had sex with someone you consider unattractive?
      

 
 
 
18. Have you ever been approached by a family member to engage in sexual behavior with them?
      
 
 
 
19. Do you mind if your partner flirts with someone of the opposite sex?
      

 
 
 
20. Have you ever fantasized about having sex with a same sex partner?
      

 
 
 
21. Do you mind if your partner uses props (sex toys) when they masturbate alone? (vibrators, sleeves, dildos, dolls, clothing)
      

 
 
 
22. Have you and any partner ever had sex in front of other people?
      

 
 
 
23. Have you ever had sex to gain something? (money, materials, drugs, clothes, grades, etc)
      

 
 
 
24. Do you mind if your partner enjoys pornography?
      

 
 
 
25. Would you be bothered to find out that your parents were swingers?
      

 
 
 
26. If an acquaintance of yours became a stripper for any reason (working through school, to take care of her family, because she enjoys it), would you see her as less of a person?
      

 
 
 
27. Have you ever seen your partner having sex with someone else?
      

 
 
 
28. Would you be bothered if you found out that your mother was a successful internet porn star?
      

 
 
 
29. Do you approve of inter-racial sexual relationships?
      

 
 
 
30. Do you feel that your religion influences your beliefs about sex?
      

 
 
 
31. As far as you know, were your parents monogamous?
      

 
 
 
32. Please type your instructors name here.
 
 
 
 
 

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