| 1. How often do you and your partner have sex (on average)? |
| Not in the last year (1 point) |
| Several times a year (2 points) |
| Once or twice a month (3 points) |
| Once or twice a week (4 points) |
| Four or five times a week (5 points) |
2. What are the longest periods you have gone without having sex together? |
| 7 months to a year or more (1 point) |
| 3-6 months (2 points) |
| 1-2 months (3 points) |
| 2-3 weeks (4 points) |
| A week (5 points) |
3. Just how passionate and erotic is your sexual relationship? |
| Sex is non-existent (1 point) |
| Sex is passionless, mechanical, and non-erotic (2 points) |
| Sex is friendly but predictable and uninspired, lacking in creativity and spontaneity (3 points) |
| Sex is pretty steamy (4 points) |
| If it got any hotter, our bed might catch fire (5 points) |
4. How much intimacy and emotional connection is present when you have sex? |
| Sex is an intense meeting of our minds and souls, and not just our bodies. (5 points) |
| Sex is a little personal, but much of "who I am sexually" never really shows. (4 points) |
| Sex is mostly on trading orgasms. (3 points) |
| There is no joining. I spend most of my time fantasizing about other partners, or thinking about other things. (2 points) |
| Sex is non-existent (1 point) |
5. Do you and your partner structure your relationship to avoid sex and intimacy? |
| We go to bed at the same time and use it as a time to connect including sexually. (5 points) |
| We go to bed at the same time and connect, but it rarely leads to sex. (4 points) |
| We go to bed at the same time, but there is no physical or emotional connection between us. (3 points) |
| We go to bed at different times to avoid having sex. (2 points) |
| We sleep in different bedrooms or live apart much of the time. (1 point) |
6. How often do you and your partner kiss during sex? |
| We kiss multiple times in almost every sexual encounter (5 points) |
| We kiss at least once in three quarters of our sexual encounters (4 points) |
| We kiss at least once in half of our sexual encounters (3 points) |
| We rarely kiss when we have sex (2 points) |
| We never have sex (1 point) |
7. Do you and your partner ever have eyes-open sex? |
| I and/or my partner sometimes have orgasms while looking into each others eyes. (5 points) |
| We sometimes make eye-contact during sex. (4 points) |
| We open our eyes, but never make eye-contact. (3 points) |
| One or both of us keep our eyes closed during sex. (2 points) |
| We never have sex (1 point) |
8. Do you and/or your partner have sexual dysfunctions (problems with lubrication or erections, or orgasms)? |
| Neither of us have difficulty getting aroused or having orgasms. (5 points) |
| I am (and/or my partner is) slow to arouse, but once we get started, we don't have any difficulties. (4 points) |
| One or both of us occasionally have difficulty with arousal and/or orgasms. (3 points) |
| One or both of us frequently have difficulty with arousal and/or orgasms. (2 points) |
| We never have sex (1 point) |
9. Do you or your partner struggle with low desire to have sex (before you start)? |
| Almost always (1 point)
|
| Usually (2 points)
|
| Sometimes (3 points)
|
| Rarely (4 points)
|
| Never (5 points)
|
10. Do you or your partner have problems with lack of desire during sex? |
| Almost always (1 point)
|
| Usually (2 points)
|
| Sometimes (3 points)
|
| Rarely (4 points)
|
| Never (5 points)
|
(The following ensures that a person, not an automated program, is making this request)
|
| Enter the sum of 4 + 2:
|
|