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1. Age:
below 18 above 18 but below 30 above 30 but below 40 above 40
2. Sex:
Male Female Both None
3. Relationship Status
Single Married Married but in casual affair Married but in serious affair
4. Age when first passionately kissed :
below 15 15 to 18 18 to marriage After marriage
5. First Kissed by:
Friend relatives or teacher stranger spouse / partner
6. Age when first had sex ?
Below 18 18 to engagement engagement to marriage After marriage
7. First sex with:
Friend Relatives or teacher Stranger spouse / partner
8. How often u matsturbate ?
Never Once a while everyday everyday more than once
9. Do u have sexual fantasy with anyone ?
No Yes with my friend / relatives Yes with husband s friend / relatives yes with someone else
10. How many people u have kissed passionately till today?
only 1 2-4 5-7 7+
11. Have u ever experienced same-sex fun?
No No but i wanted to, in younger days No but i m willing now Yes
12. How many people u had sex till today ?
Only 1 2-3 4-5 5+
13. Have u cheated on partner ?
No No but i can if i get chance yes but it was mistake yes n i m continuing
14. To what extent have u cheated :
Never Just kissed Kissed n been naked but no sex Sex with everything
15. When was the last time u has kissed someone other than partner ?
Last week More than week but less than a month More than a month Never
16. When was the last time u had sex with someone other than partner ?
Last week More than week but less than a month More than a month Never
17. Any kind of unnatural sex
No only male -female sex yes but threesome yes it was foursome yes group sex n more than four
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