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-CJ ELLIS

The Sex and Marriage Survey for Men

By CJ Ellis

Thank you for taking the time to fill out this survey. The insights gained from your responses will greatly improve our ability to encourage husbands and wives and help strengthen marriages.

NOTE: After you fill out the survey, you will be given access to a free gift that we believe will be an incredible benefit to your marriage.

What is your gender?MaleFemale

What is your age?20-2526-3132-3940-4546-5556-6566-7576-85

How long have you been married?0-2 Years3-5 Years6-10 Years11-20 Years21-25 Years26-30 Years31-40 Years41+ Years

Do you have children?YesNo

How many times per week or month, ON AVERAGE, do you and your spouse have sex?Less than once a monthOnce a monthTwice a month3 Time a monthOnce a weekTwice a week3 Times a week4 Times a week5+ Times a week

How often would you PREFER to have sex with your spouse?Less than once a monthOnce a monthTwice a month3 Time a monthOnce a weekTwice a week3 Times a week4 Times a week5+ Times a week

If you have extenuating circumstances that hinder your sex life, please explain (i.e. health issues, work schedule, etc.).

Are you satisfied with your FREQUENCY of sex with your spouse?YesNo

If not, list 2 reasons why you and your spouse don't have sex as often as you would like

Are you satisfied with the QUALITY of sex with your spouse?YesNo

What ONE thing do you think would improve the quality of your sex life?

Do you and your spouse talk about your sex life with each other?YesVery LittleNo

If you do NOT or rarely talk about sex with your spouse, what would you say are the 2 main reasons why?

If/when you talk, do you believe your communication about sex is beneficial to your marriage?YesNo

Would you like to improve your communication about sex with your spouse?YesNo

Which statement do you feel best represents your attitude about sex?She loves having sex just as much if not more than meShe has a great attitude about it. I'm very pleased.She can take it or leave itIt's like pulling teeth! She hardly seems interested.

I regularly attend a men's small group.TrueFalse

I have/am pursuing a close friendship with a friend with whom I can share anything with and whom will lovingly confront me if/when needed.TrueFalse

If you don't have or are not pursing this type of relationship, why not?I don't think it's necessaryI'm too busyI haven't thought much about itI don't know how to develop that type of relationshipN/A

I set aside alone or personal "recharging" time for me...Every DayOnce a weekOnce a monthHardly ever

I have/am seeking professional counseling/therapy for past trauma and/or heart issuesTrueFalse

I am Intentionally going after freedom from addictions in my life.TrueFalse

From 1 to 5, with 5 being very strong, how would you rate your emotional intimacy/connection with your spouse?12345

What is one way that your emotional intimacy/connection could improve?

If you could say one thing to your wife without any negative reaction from her, what would you like to say to your wife about your sex life?

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Thank you for your interest in taking
the survey!

To get started fill out the questions below.

All answers are anonymous.

-CJ ELLIS

The Sex and Marriage Survey for Men

Privacy Policy

Terms & Conditions

Thank you for your interest in taking the survey!

To get started fill out the questions below.All answers are anonymous.

-CJ ELLIS

The Sex and Marriage Survey for Men

Privacy Policy

Terms & Conditions

Thank you for your interest in taking
the survey!

To get started fill out the questions below.

All answers are anonymous.