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 Women

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

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

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

List 2 reasons why you and your spouse don't have sex as often as you would like

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

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

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

Which statement do you feel best represents your attitude about sex?It's a wonderful gift that husbands and wives should enjoy as often as they are able toI can take it or leave itIt's something I feel embarrassed talking about, let alone engaging inI've experienced too much trauma to enjoy sex

Have you experienced any past sexual trauma?YesNo

If you answered "yes" to the previous question, does your husband know about it?YesNoI haven't experienced past sexual trauma

Have you or are you currently seeking any type of counseling/therapy to address your past trauma?YesNoI haven't experienced past sexual trauma

List one thing that you and your husband are doing intentionally to improve your sex life.

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?

What is one thing you would like to say to your husband 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 Women

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 Women

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.