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New Page 2 Survey

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First let our staff at Cosmopolitan say thank you for participating in this online survey. You are being contacted because you have either submitted your email address to our database previously, or a friend of yours has submitted you as a possible participant. Please be assured that all of your personal information as well as your specific answers to the survey questions will be kept as confidential. The only reporting of your responses will be group tally’s included in a future publication only as a part of a group statistic.

Please note that your email address is optional. By including it on the survey, you will be sent an email prior to the news stand date for the issue containing the survey results. Please answer all other questions as best as is possible.

We would like to include you in future surveys where possible. If this is the first of our surveys you have completed, or if you have not included your email address in the past but would like to remain on our mail list, please include your email address now.

Thank you for your cooperation in our survey program.

After Completing This Survey, Click On The "Submit Survey" Button

at the bottom Of This Page.

Tell us a little bit about yourself:

*Age*
*Age I First Had Intercourse*
*Height (ex. 5'3")*
*Weight (ex. 114 lbs)*
*My measurements are (ex. 36c-24-36)*
*Zip/Postal Code (first 3 numbers only - used to track geographical region)*
E-mail (optional)

My Marital Status Is:
Never Married
Currently Married
Separated
Divorced
In regards to cheating:
Never cheated on my partner
I have cheated but only one time
I have cheated multiple times
I would not rule out cheating in the future
If unmarried, do you have a significant other?
Yes No
Do you read Cosmo?
I subscribe
Most of the time
Once and a while
What's it called?
Is the age of your partner important? (check all that apply)?
No, age is not what matters to me
I would prefer no more than fifteen years older than me
I would prefer no more than ten years older than me
Must be very close to my age
I would prefer no more than ten years younger than me
I would prefer no more than fifteen years younger than me
My very first sexual experience (not playing Dr.) involved:
Me giving oral sex
Me giving and receiving oral sex
Me receiving oral sex
Intercourse
I can't remember
My very first sexual experience was:
Great
So-so
Very bad
My very first sexual experience was with:
With a male partner
With a female partner
My very first sexual experience was with:
With someone my age
With someone younger than me
With someone older than me
How would you rate your current relationship?
Great
Ok I guess
I might consider divorce/breaking up if I met the right man
I might consider divorce/breaking up if I met the right woman
I would consider having sex with a friend, simply for fun if no one else had to know:
yes
No
Maybe
I have and will again
My sexual orientation is:
Straight
Lesbian
Bisexual
Bi-Curious
The number of sexual partners I currently have is:
None
1
2
3 or more
My current sexual partner(s) is (are):
Male
Female
Both

I enjoy (check all that apply):

Intercourse                        Giving oral sex                                
Masturbation                       Receiving oral sex

Bondage - restraining my partner   Bondage - being restrained myself

Anal sex

Do you have any of the following body piercings (check all that apply)?
None
Tongue
Navel
Nipples
Genitals

Do you use any of the following on a regular basis in your sexual encounters

(check all that apply)?

None                         Vibrator                    Dildo                      
Blindfolds                   Ropes                       Whips                      
Nipple Devices               Handcuffs                   Anal Devices

Other

Have you ever had multiple partner sex (check all that apply)?
No
Me with a man and a woman
Me with two men
Me with two woman
If the answer to the last question is no, would you like to have sex with:
Doesn't interest me

Me with a man and a woman
Me with two men
Me with two woman
Are you multi orgasmic?
Yes No
How long does it usually take you to achieve orgasm?
Less than 5 minutes
5 - 10 minutes
10 - 20 minutes
Quite a long time
I never do
If I could have it my way, I would have sex
Less than once a month
Every couple of weeks
Once or twice a week
Almost every day
I would describe my menstrual flow as:
Light
Medium
Heavy
I experience the following during my period:
PMS - Physical Symptoms (cramps, etc.)
Mental Symptoms (not very nice to be around, moody, etc.)
Stay away from me!!!
I enjoy sex most:
Just before my period
During my period
Just after my period
It really doesn't matter to me
How often do you masturbate?
Not at all
Less than once a month
About once a month
Every other week

About once a week

Nearly every day
When I masturbate I like to (check all that apply):
Use my fingers
Use a vibrator
Insert other objects
Do you enjoy adult content movies (check all that apply)?
No
Occasionally
Alone
With a partner
Briefly, my most secret and wild sexual fantasy is:
Have you ever, or do you currently, fantasize about someone from your past, such

as an old friend that you wish you had had sex with?

Yes No
If yes above, describe the fantasy, why you think you have it, and the relationship

that exists (how do you know them: Only include first names, PLEASE DO NOT include

any last names, simply indicate as my old next door neighbor Dave, my brother's/sister's

old friend John, my best friend Linda's husband Tom, etc.):
Would you ever consider acting on this fantasy?
In a heartbeat
Yes
Given the right situation I might
No
May we contact you with follow-up surveys?
Yes
My e-mail Address is:
No
Any additional comments: