Row	Question	Almost always	Most often	Sometimes	A few times	Almost never	Never
1	How often have you been willing to have sexual activity during the past four weeks?
2	How intense has been your tendency to have sexual activity during the past four weeks?
3	How often did you feel sexually aroused during the sexual activity (turned on) over the past four weeks?
4	How intense has your sexual arousal (turn on) been during the sexual activity over the past four weeks
5	How often have you been sure during the past four weeks that you will become sexually aroused (turned on) in the course of sexual activity?
6	How often have you felt being satisfied with the sexual arousal (turned on) with your sexual intercourses during the past four weeks?
7	How often have you become lubricated (wet) in the course of sexual activity during the past four weeks?
8	How often have you found it difficult to get lubricated (wet) during the sexual activity over the past four weeks?
9	How often have you found yourself still lubricated (wet) even after the termination of the sexual activity during the past four weeks?
10	How often have you found it difficult to keep yourself lubricated (wet) even after the termination of the sexual activity during the past four weeks?
11	How often have you felt orgasm (peak of sexual pleasure) during the sexual activity over the past four weeks?
12	How often have you found it difficult to reach orgasm (climax) during the sexual activity over the past four weeks?
13	How often have you been satisfied with reaching orgasm (climax) during the sexual activity over the past four weeks?
14	How often have you found yourself satisfied with the emotional closeness to your husband during the sexual activity over the past four weeks?
15	How often have you found yourself satisfied with having sex with your husband during the past four weeks?
16	How often have you felt being satisfied in total with your sexual intercourse during the past four weeks?
17	How often have you experienced pain or discomfort during sexual intercourse over the past four weeks?
18	How often have you experienced pain and discomfort right after and following the sexual intercourse?
19	How intense has been your pain and discomfort during and following sexual intercourse over the past four weeks?