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Marital Sex Life Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Unfulfilled Fantasies
Please select any unfulfilled fantasies you would like to discuss.
Role-playing
BDSM
Threesome
Public Sex
Exhibitionism
Voyeurism
Swinging
Other
2
New Things to Try
Rate your interest in trying new things with your partner.
3
Good Old Favorites
Share your favorite activities or positions that you enjoy the most.
4
Frequency of Fulfillment
Indicate how often you would feel fulfilled in your sex life.
Daily
Weekly
Monthly
Occasionally
Rarely
5
Communication
How comfortable do you feel discussing your sexual desires with your partner?
6
Initiative
Who usually initiates sexual intimacy in your relationship?
Husband
Wife
Both Equally
7
Spontaneity
How important is spontaneity for you in your sex life?
8
Fantasy Fulfillment
Discuss how often your sexual fantasies are fulfilled.
Always
Often
Sometimes
Rarely
Never
9
Satisfaction Level
On a scale of 1 to 10, how satisfied are you with your current sex life?
10
Additional Comments
Is there anything else you would like to add or discuss regarding your sex life?
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