All information will be treated with absolute confidentiality.

1) Your Name?

2) Your Race?

3) What is your date of birth? {mm/dd/yyyy}

4) What age did you first masturbate? {in years}

5) How many times a week do you masturbate on average?

6) What is your erect length size? {in inches} {in cm}

7) What is your erect girth/circumference size(the distance around your penis)? {in inches} {in cm}

8) Your Height? {in inches} {in cm}

9) Your Weight? {in kg}

10) Your email address

OR