Survey on the Influence of PMC on Relationship Quality and Later Sexual Satisfaction

1
Gender* This field is required.
Male
Female
Non-Binary
Prefer Not To Answer
2
Age Range* This field is required.
Under 25 years
26 to 35 years
36 to 50 years
51 and above
3
How many years have you been married to or with your significant other ?* This field is required.
Less than 3 years
3-5 years
6-10 years
10 +
4
Have you ever sought assistance from an outside source to help your relationship & add spice to your life?* This field is required.
Yes,Professional Counselling
Yes, Religious Counselling
None
Yes, coach, mentor, sexual educator etc
5
Relationship Assessment Questionnaire
6
Does your partner meet your sexual and emotional needs & desires?* This field is required.
1
2
3
4
5
Does not
Excellent
7
In general, how satisfied are you with your relationship?* This field is required.
1
2
3
4
5
Not satisfied
Very satisfied
8
How is your relationship compared to what your ideal dream version of your relationship?* This field is required.
1
2
3
4
5
Poor
Excellent
9
How often are you thankful you got into this relationship?* This field is required.
1
2
3
4
5
I wish I hadn't
Best decision of my life
10
To what extent has your relationship met your original expectations?* This field is required.
1
2
3
4
5
No expectations met
My relationship has met my expectations
11
How much do you honor, love & value your partner? * This field is required.
1
2
3
4
5
No love
Very much
12
How many problems are there in your relationship?* This field is required.
1
2
3
4
5
Too many problems
Little problems
13
The New Sexual Satisfaction Scale items Thinking about your sex life during the last six months. please rate your satisfaction with the following aspects:
14
The intensity of my sexual arousal ?* This field is required.
1
2
3
4
5
Very low
Very High
15
The quality of my orgasms* This field is required.
1
2
3
4
5
Very poor
Excellent
16
My “letting go” & surrender to sexual pleasure during sexual intimacy * This field is required.
1
2
3
4
5
Very poor
Excellent
17
My focus/concentration during sexual activity. Being in the moment* This field is required.
1
2
3
4
5
Very poor
Excellent
18
The way I sexually react to my partners touch * This field is required.
1
2
3
4
5
Very poor
Excellent
19
My body’s sexual functioning * This field is required.
1
2
3
4
5
Very poor
Excellent
20
My emotional opening up during sex or intimacy times* This field is required.
1
2
3
4
5
Very poor
Excellent
21
My mood after sexual activity * This field is required.
1
2
3
4
5
Very poor
Excellent
22
The frequency of my orgasms * This field is required.
1
2
3
4
5
Very low
Very high
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The pleasure I provide to my partner * This field is required.
1
2
3
4
5
Very poor
Excellent
24
The balance between what I give & receive during sex & intimacy * This field is required.
1
2
3
4
5
Not balanced
Very balanced
25
My partner’s emotional opening up during sex & intimacy* This field is required.
1
2
3
4
5
Poor
Excellent
26
My partner’s initiation of sexual activity * This field is required.
1
2
3
4
5
Poor
Excellent
27
My partner’s ability to orgasm * This field is required.
1
2
3
4
5
Poor
Excellent
28
My partner's surrender to sexual pleasure (“letting go”)* This field is required.
1
2
3
4
5
Poor
Excellent
29
The way my partner takes care of my sexual needs & desires* This field is required.
1
2
3
4
5
Poor
Excellent
30
My partner’s sexual creativity * This field is required.
1
2
3
4
5
Poor
Excellent
31
My partner’s sexual availability * This field is required.
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2
3
4
5
Poor
Excellent
32
The variety of our sexual activities * This field is required.
1
2
3
4
5
Poor
Excellent
33
The frequency of my sexual activity* This field is required.
1
2
3
4
5
Poor
Excellent
34
What is one thing you would like your partner to do to help you feel more connected & satisfied sexually, intimately, sensually & or spiritually?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
35
Name* This field is required.
First Name
Last Name
36
Email* This field is required.
example@example.com
37
Phone NumberI would like to receive text updates & specials!
Area Code
Phone Number
Should be Empty: