Questionnaire
G. These Questions In This Section Are About the
Experience of Orgasm.
1. Please check the best answer for you:
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I have
never experienced an orgasm
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I am not
sure if I have ever had an orgasm
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My first
orgasm was by myself
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My first
orgasm was during sexual activity with a partner
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Other
(PLEASE SPECIFY):
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If you have never experienced orgasm or are not sure
if you have, please skip to Question 11.
2. I think my first orgasm occurred when I was age ___________years
(If you don't know for sure please write in your
best estimate or guess. If you were young, perhaps you only realized later that
it was an orgasm.)
3. The following describe my experience (please
check all that apply):
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My first
orgasm occurred spontaneously
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My first
orgasm occurred when I was trying to have one
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My first
orgasm surprised me
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I was
frightened by the sensations of my first orgasm
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I reach
orgasm when alone but not when I'm with a partner
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I have
at some time awakened from sleep having an orgasm from dreaming
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I have
at some time had an orgasm from mental/emotional stimulation (such as a
fantasy, recalling a past experience, reading) without also sexual touching
myself
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None of
the above
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If you have never had an orgasm
when alone, please circle 0 and skip to Question 7.
4. I generally reach orgasm more easily by myself
than with a partner.
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Strongly Disagree
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Strongly Agree
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NA
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1
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2
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3
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4
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5
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6
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7
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0
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5. I generally have more enjoyable orgasms by myself
than I have had with a partner.
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Strongly Disagree
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Strongly Agree
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NA
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1
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2
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3
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4
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5
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6
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7
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0
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6. The stimulation I use to reach
orgasm when alone tends to be:
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Always
(or almost always) the same kind
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Varied,
I use different kinds of stimulation at different times
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If you have never experienced
orgasm with a partner, please circle 0 and skip to Question 10. 0000
7. The stimulation through which I
reach orgasm with a partner tends to be:
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Always
(or almost always) the same kind
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Varied,
I use different kinds of stimulation at different times
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8. I generally have (had) more
enjoyable orgasms with my most satisfying sexual partner than by myself
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Strongly Disagree
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Strongly Agree
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NA
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1
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2
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3
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4
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5
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6
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7
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0
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If you have not experienced orgasm
with a partner in the last 3 months, Please circle 0 and skip to
Question 10.000000
The next question is about your
orgasms with a partner in the last 3 months. If you have had more than one
partner, answer regarding your most satisfying partner.
9. In the last 3 months when
having sex with my partner:
a. I wanted to orgasm in
approximately __________% of the sexual episodes.
(please write in your best guess)________ %
b. I actually orgasmed in
approximately _______% of the sexual episodes in which I wanted to.
(write in your best guess)
________ %
c. I am satisfied with the
frequency I actually orgasmed.
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Strongly Disagree
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Strongly Agree
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NA
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1
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2
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3
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4
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5
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6
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7
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0
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d. I am satisfied with the
quality/intensity of the orgasms I had.
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Strongly Disagree
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Strongly Agree
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NA
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1
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2
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3
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4
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5
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6
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7
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0
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10. In my life, I have (please
write in your best estimate or guess of the number):
a. Cried during orgasm or had
crying released by orgasm __________times
b. Laughed during orgasm or had
laughter released by orgasm ______________times
11. a. In my life, I have faked an
orgasm ________times
(please write in your best estimate or guess):
b. I have faked an orgasm with
____________percent of my partners
(If you do not have a current
partner, circle 0 and skip to Question 12. )
c. I fake an orgasm with my
current partner about________________percent of the time.
If you have never reached orgasm
during sex with a partner, please skip to the next section, Section H.
12. In addition to getting
specific physical stimulation, I often have done the following to help me reach
orgasm during sex with a partner. (check all that apply; some may have happened
spontaneously):
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Gotten
myself in a sexy mood beforehand
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Engaged
in a fantasy of my ow
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Engaged
in a fantasy shared with my partner
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Thought
or imagined that I might become pregnant
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Synchronized
my breathing to my partner's breathing
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Synchronized
the rhythm of my movements to my partner's
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Felt/thought
how much I love my partner
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Tightened
and released my pelvic muscles
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Paid
attention to my physical sensations
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Focused
on my partner's pleasure
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Positioned
my body to get the stimulation I needed
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Engaged
in eye contact with my partner
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Detached
from thinking about anything
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Asked or
encouraged my partner to do what I needed
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Other
(Please specify)
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Remember
The questionnaire is here for VIEWING ONLY.
Please DO NOT send your answers to me.
Copyright 1998, Carol Ellison, Ph.D.
