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What is your biological sex?
Male
Female
Have you ever been emotionally hurt or abused by women?
Yes
No
Have you ever been emotionally hurt or abused by men?
Yes
No
Have you ever been physically hurt or abused by women?
Yes
No
Have you ever been physically hurt or abused by men?
Yes
No
Do you find men sexually attractive?
Yes
No
Do you find women sexually attractive?
Yes
No
Are you often openly sexualized, or otherwise told that you were attractive, by men?
Yes
No
Are you often openly sexualized, or otherwise told that you were attractive, by women?
Yes
No
Have you ever felt as though your self-worth was tied to your attractiveness, or that if you were more attractive, things would be better?
Yes
No
Do you consider yourself attractive?
Yes
No
Do you believe that other people would consider you attractive?
Yes
No
Would you be happier, or do you think that you would be happier, if you were in a healthy relationship?
Yes
No
Do you feel comfortable talking about your sexual desires or interests with men?
Yes
No
Do you feel comfortable talking about your sexual desires or interests with women?
Yes
No
Do you think that your male peers would approve of you being open about your sexuality?
Yes
No
Do you think that your female peers would approve of you being open about your sexuality?
Yes
No
Do you think that you would be proud, if you had had sex with many attractive people?
Yes
No
Would you feel comfortable with a partner who has had sex with many attractive people?
Yes
No
Do you have any final comments?
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