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Sexual Habits Survey
Thank you for completing this survey. Your honest answers are very important to me. Please be assured that confidentiality and your anonymity are guaranteed. The information in these surveys will only be compiled into general summary data, that will be available to subscribers to Dr Jan's Sex Therapy website.
Your Age
                   
Current Status
       
Sexual Preference
           
How often do you have sex?
Sex with partner
                   
Masturbation
                   
How often do you orgasm?
Masturbation (alone)
                   
Sex with partner
                   
How often do you initiate partner sex?
                   
On average,how long can you keep an erection? (minutes)
Masturbation (alone)
Masturbation (partner)
Oral Sex
Intercourse
On average, how long can you be stimulated before you ejaculate? (minutes)
Masturbation (alone)
Masturbation (partner)
Oral Sex
Intercourse
How often do you have premature ejaculation? (ie "come" too soon)
Masturbation (alone)
                   
Masturbation (by partner)
                   
Oral Sex
                   
Intercourse
                   
How often do you lose your erection (i.e. can't get it back)
Masturbation (alone)
                   
Masturbation (by partner)
                   
Oral Sex
                   
Intercourse
                   
How often do you have a dry orgasm? (ie not ejaculate but have an orgasm internally?)
Masturbation (alone)
                   
Masturbation (by partner)
                   
Oral Sex
                   
Intercourse
                   
If you have a partner, please rate your partner as a lover
                   
If Single, on average how good are your lovers?
                   
How good a lover are you in your opinion?