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* 1. What is your gender?

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* 2. How old are you?

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* 3. How long have you been married?

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* 4. Are you keeping secrets from your spouse about your sex life prior to marrying them? Check all that apply.

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* 5. Are you keeping secrets from your spouse about your sex life since marrying them? Check all that apply.

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* 6. Optional Comments

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