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* 1. What is your gender?

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* 2. How old are you??

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* 3. When you have sex with your spouse, what percentage of the time does does it include intercourse?

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* 4. When you have sex with your spouse, what percentage of the time does she climax from manual stimulation by him?

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* 5. When you have sex with your spouse, what percentage of the time does he climax from manual stimulation by her?

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* 6. When you have sex with your spouse, what percentage of the time does she climax from oral stimulation by him?

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* 7. When you have sex with your spouse, what percentage of the time does he climax from oral stimulation by her?

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* 8. When you have sex with your spouse, what percentage of the time does she climax from use of a vibrator or other sex toy used by him?

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* 9. When you have sex with your spouse, what percentage of the time does he climax from use of a vibrator or other sex toy used by her?

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* 10. When you have sex with your spouse, what percentage of the time does she climax from self-stimulation?

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* 11. When you have sex with your spouse, what percentage of the time does he climax from self-stimulation?

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* 12. What percentage of the time is sex "just for him" - meaning the intent if for only him to climax?

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* 13. What percentage of the time is sex "just for her" - meaning the intent if for only her to climax?

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* 14. Optional Comment

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