|
Score
|
| Sleep duration per night (SlpD), h |
|
| <4 |
1 |
| 4-6 |
2 |
| 6-8 |
3 |
| >8 |
4 |
| Sexual activities |
|
| a. How many times do you have coitus each month?
(CoitalF) |
________/mo |
| b. Are you satisfied with your coital frequency?
(DesiredSex) |
|
| No, I want more sex |
1 |
| Yes, I am happy with my coital
frequency |
2 |
| No, I want less frequent sex |
3 |
| c. Do you masturbate? (Masturbate) |
|
| No |
1 |
| Yes |
2 |
d. If yes, how many times per month? (No. Times)
|
__________/mo
|