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1. The last time I engaged in any kind of sexual activity with a partner was_____today.

(please circle today or write in your best estimate of approximately of how many):

Days ago______? Months ago____? Years ago______?

If you have more than one current partner, interpret "current partner" to mean your "primary partner" as you fill out this questionnaire.

2 a. My current or most recent sexual partner is/was:

male ___or ___ female

b. I have been (or was) with this partner ____Months or____years (write in how many):

3. I think of myself as currently having (write in how many):__ Male __female sexual partners.

4. I have had about ______sexual partners in my lifetime (write in how many):

5. In my lifetime, the number of people with whom I have engaged in what is often called "casual sex" or a "one-night stand" (including instances where a relationship or friendship developed after the sex) is approximately ____________ .

6. My current or most recent sex partner has been (was) a good partner for me in general, not just sexually.

7. In the past, most of my sex partners were good partners for me in general, not just sexually.

8. In my life I have had at least one partner with whom I had what I considered to be really fantastic sex.

9
a. In the last 3 months, the number of individuals with whom I have engaged in sexual activity of any kind is ________________(write in how many,)

If your answer to 9a is "0", skip 9b.

b. The partner(s) and circumstances can be described as (circle all that apply):

A male partner___

A female partner___

My "spouse" (married or life commitment)___

A nonspouse partner I live with___

A partner I don't live with___

Someone I knew at the time for more than 1 but less than 7 days___

Someone I knew at the time for less than 24 hours___

A partner with whom I have an ongoing affair___

A friend: we sometimes or regularly meet each other's sexual needs___

Someone I know, in exchange for money___

A stranger, in exchange for money ___

Other (PLEASE SPECIFY): ______________