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Question No.
Question TextAnswer
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Q1Over the past 4 weeks, how often did you feel sexual desire or interest?A few times (less than half the time)
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Q2How would you rate your level (degree) of sexual desire or interest?Very low or none at all
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Q3How often did you feel sexually aroused ("turned on") during sexual activity or intercourse?A few times (less than half the time)
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Q4How would you rate your level of sexual arousal ("turn on") during sexual activity or intercourse?Very low or none at all
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Q5How confident were you about becoming sexually aroused during sexual activity or intercourse?Very low or no confidence
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Q6How often have you been satisfied with your arousal (excitement) during sexual activity or intercourse?Almost never or never
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Q7How often did you become lubricated ("wet") during sexual activity or intercourse?Almost always or always
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Q8How difficult was it to become lubricated ("wet") during sexual activity or intercourse?Not difficult
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Q9How often did you maintain your lubrication ("wetness") until completion of sexual activity or intercourse?Most times (more than half the time)
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Q10How difficult was it to maintain your lubrication ("wetness") until completion of sexual activity or intercourse?Not difficult
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Q11When you had sexual stimulation or intercourse, how often did you reach orgasm (climax)?A few times (less than half the time)
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Q12When you had sexual stimulation or intercourse, how difficult was it for you to reach orgasm (climax)?Extremely difficult or impossible
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Q13How satisfied were you with your ability to reach orgasm (climax) during sexual activity or intercourse?Moderately dissatisfied
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Q14
How satisfied have you been with the amount of emotional closeness during sexual activity between you and your partner?
Moderately satisfied
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Q15How satisfied have you been with your sexual relationship with your partner?Moderately dissatisfied
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Q16How satisfied have you been with your overall sexual life?Very dissatisfied
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Q17How often did you experience discomfort or pain during vaginal penetration?A few times (less than half the time)
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Q18How often did you experience discomfort or pain following vaginal penetration?Almost never or never
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Q19How would you rate your level (degree) of discomfort or pain during or following vaginal penetration?High
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