1. How old are you?
A. Under 30
C. Over 40
2. Are you in a committed relationship currently?
B. Kid of
3. Are you currently sexually active?
4. How often would you say you watch pornography?
A. Just about every day
B. Between several times a week to several times a month
C. Less than once a month
5. Have you ever had any sexual trauma in your life?
B. I am not sure
6. Are you on any medications currently?
7. Do you have a mental health diagnosis that is serious and persistent?
B. I was treated in the past, but not currently
8. Do you have any current health conditions?
B. Not currently, but in the past
9. How often would you say you think about sex?
B. Between a couple times a day to a couple times a week
C. Once a week or less
10. Has your sex drive ever been an issue that affected your relationships currently or in the past?