INSTRUCTIONS: 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.
CHECK ONLY ONE BOX 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