| 1 | I think that my partner shows consideration to me | 0 1 2 3 4 |
| 2 | My partner tries to understand my wishes and needs during everyday life | 0 1 2 3 4 |
| 3 | I am satisfied with the times I spend with my partner | 0 1 2 3 4 |
| 4 | I verbally express thoughts and ideas to my partner during everyday life | 0 1 2 3 4 |
| 5 | My partner verbally expresses thoughts and ideas to me during everyday life | 0 1 2 3 4 |
| 6 | I show consideration to my partner | 0 1 2 3 4 |
| 7 | I verbally express love to my partner | 0 1 2 3 4 |
| 8 | My partner verbally expresses love to me | 0 1 2 3 4 |
| 9 | I understand my partner’s wishes and needs during everyday life | 0 1 2 3 4 |
| 10 | I am satisfied with physical contact, such as hugging or holding hands, during everyday life | 0 1 2 3 4 |
| 11 | My partner verbally expresses sexual satisfaction to me | 0 1 2 3 4 |
| 12 | My partner verbally expresses sexual desire to me | 0 1 2 3 4 |
| 13 | I verbally express sexual satisfaction to my partner | 0 1 2 3 4 |
| 14 | I am satisfied with the content of our sexual relations | 0 1 2 3 4 |
| 15 | I verbally express sexual desire to my partner | 0 1 2 3 4 |
| 16 | I am satisfied with the frequency of our sexual relations (including if there are no sexual relations) | 0 1 2 3 4 |
| 17 | I sometimes feel mental distress over sexual relations* | 0 1 2 3 4 INAP |
| 18 | I sometimes feel physical difficulty during sexual relations* | 0 1 2 3 4 INAP |
| 19 | I come up with ideas to make ensure satisfactory sexual relations | 0 1 2 3 4 INAP |
| 20 | I have a desire for sexual relations | 0 1 2 3 4 |
| 21 | I am interested in sexual relations | 0 1 2 3 4 |
| 22 | (For men) I think that I am masculine (For women) I think that I am feminine | 0 1 2 3 4 |
| 23 | I think that sexual relations with my partner are important | 0 1 2 3 4 |
| 24 | I think that sexual relations with my partner are necessary | 0 1 2 3 4 |
| 25 | (For men) I think that my body is masculine (For women) I think that my body is feminine | 0 1 2 3 4 |
| 26 | I think that physical contact such as hugging or holding hands during everyday life is necessary | 0 1 2 3 4 |
| 27 | I think that physical contact such as hugging or holding hands during everyday life is important | 0 1 2 3 4 |
| 28 | I have a need for physical contact such as hugging or holding hands during everyday life | 0 1 2 3 4 |