These questions ask about your sexual feelings and responses during the past 4 weeks. Please answer the following questions as honestly and clearly as possible. Your responses will be kept completely confidential.
In answering these questions the following definitions apply:
>SEXUAL ACTIVITY can include caressing, foreplay, masturbation and vaginal intercourse.
>SEXUAL INTERCOURSE is defined as penile penetration (entry) of the vagina.
>SEXUAL STIMULATION includes situations like foreplay with a partner, self-stimulation (masturbation), or sexual fantasy.
>SEXUAL DESIRE or INTEREST is a feeling that includes wanting to have a sexual experience, feeling receptive to a partner's sexual initiation, and thinking or fantasizing about having sex.
>SEXUAL AROUSAL is a feeling that includes both physical and mental aspects of sexual
excitement. It may include feelings of warmth or tingling in the genitals, lubrication
(wetness), or muscle contractions.
CHECK ONLY ONE BOX PER QUESTION.