INSTRUCTIONS: These questions ask about your sexual feelings and responses during the past 4 weeks. Please answer the following questions as honestly and as clearly as possible. In answering these questions the following definitions apply:

Sexual Activity: includes intercourse, caressing, foreplay, and masturbation.

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.

Choose ONLY ONE choice per question:

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.

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