From: ifam655@ccwf.cc.utexas.edu (Jeff Lessem)
Newsgroups: sci.psychology
Subject: Sex Survey
Date: 15 Nov 92 20:02:06 GMT
Organization: The University of Texas at Austin, Austin TX


        I would appreciate your cooperation in answering the following
questionnaire.  What I would like to determine is an individual's attitudes
towards relatives, children, sex, and certain social situations.  I am
distributing this over Usenet because of Usenet's particular ability to allow
me to reach a large number of people in a short amount of time.
        Please answer each question as best you can.  In some cases you will be
asked to make a judgment or to speculate.  In other cases you simply will not
have the information.  Do not hesitate to use your subjective impressions where
necessary.
        Please return the questionnaire by E-mail to me at
ifam655@ccwf.cc.utexas.edu.  All headers, .signatures, etc. will be immediately
deleted from the file.  Answers will be totally anonymous.  If you would like
to receive a copy of my results from this questionnaire please E-mail me a
separate message with a request in the body.  All requests will be honored, but
please return the questionnaire (in a separate letter) if you do make a request
for results.
                                        Thank you,
                                        Jeff Lessem
                                        ifam655@ccwf.cc.utexas.edu
                                        The University of Texas at Austin

(I am not an official representative of the University of Texas, merely a
student.)

1. Sex:  _____
        A. Female
        B. Male

2. Ethnic or racial group:  (Caucasian, Mexican, Oriental, etc.)  __________

3. Age:  _____

4. Marital Status:  _____
        A. Single (never married)
        B. Never married but living with a sexual partner
        C. Married
        D. Divorced, widowed, or separated and living alone
        E. Divorced, widowed, or separated and living with a sexual partner

5. What country, state, or province do you currently live in:  (Australia,
        Italy, Nebraska, etc.)  __________

6. Number of biological brothers:  _____

7. Number of biological sisters:  _____

8. What is your birth order in relationship to your brothers and sisters?
        (First, third, etc.)  _____

9. Number of half-brothers and half-sisters:  _____

10.  Total number of father's brothers and sisters (now living):  _____

11.  Total number of mother's brothers and sisters (now living):  _____

12.  How many first cousins do you have?  _____

13.  How many nieces and nephews do you have from your biological brothers and
        sisters?  _____

14.  How many nieces and nephews do you have from your half-brothers and
        half-sisters?  _____

15.  How many male children do you have?  _____

16.  How many female children do you have?  _____

17.  Level of education you have completed or expect to complete before
        finishing your education:  _____
        A. High school (or equivalent) or less
        B. Some college or trade school
        C. Complete(d) college or trade school
        D. Complete(d) an advanced post-graduate degree
        E. Don't know or haven't decided

18.  Estimate your present average income per year:  _____

19.  Estimate your future average income when your education or job training is
        complete:  _____

20.  Are you now:  _____
        A. A full-time student
        B. A part-time student
        C. Working in your chosen profession
        D. Working outside your chosen profession
        E. Neither employed or in school

21.  What is your sexual preference?  _____
        A. Partners of the same sex
        B. Partners of the opposite sex
        C. Partners of either sex
        D. Don't know


22.  Are you currently:  _____
        A. Sexually active with more than one partner
        B. Sexually active with one partner exclusively
        C. Temporarily sexually inactive (between partners)
        D. Sexually inactive by choice
        E. Physically or psychologically incapable of sexual activity

23.  Estimate the number of sexual partners you have had throughout your
        lifetime:  (1, 3, >500, etc.)  _____

24.  Compared to others, do you feel that your sex drive is:  _____
        A. Low
        B. Average
        C. High
        D. Very high

25.  Do you plan on having more children:  _____

26.  How important do you think it is to acquire money and property?  _____
        A. Not at all important
        B. Somewhat important
        C. Very important
        D. Life's most important activity

27.  Do you believe in saving money for future goals or emergencies?  _____
        A. No
        B. To a minor extent
        C. When convenient
        D. Whenever possible

28.  Do you want to own your own home?  _____

29.  Are you interested in helping humankind?
        A. No
        B. To a minor extent
        C. Somewhat
        D. Whenever possible

30.  Do you consider yourself a selfish person?  _____
        A. No
        B. Sometimes
        C. Usually
        D. Always

31.  If you extend help to a stranger, do you expect strangers to respond in
        the same way?  _____
        A. Never
        B. Sometimes
        C. Usually
        D. Always

32.  Would you be willing to sacrifice having a child in order to support a
        relative to have a child?
        A. Never
        B. Maybe
        C. Yes
        D. Definitely
        E. Doesn't apply

33.  Would you lie to get your way?  _____
        A. Never
        B. Maybe
        C. Yes
        D. Definitely

34.  Have you donated or do you plan to donate money to the March of Dimes,
        United Fund or other charities?  _____
        A. No
        B. Occasionally
        C. Many times
        D. Whenever possible

35.  If a member of your family needed financial assistance would you provide
        it?  _____
        A. Never
        B. Sometimes
        C. Yes
        D. Definitely

36.  If for any reason you could not have your own biological children would
        you consider adoption?  _____
        A. No
        B. Maybe
        C. Yes
        D. Definitely

37.  Should your mate be allowed sexual freedom with other individuals?  _____
        A. No
        B. Sometimes
        C. Yes
        D. Definitely

38.  If you are homosexual or bisexual and have children did you have them
        before "coming out of the closet" or after?  _____
        A. Before
        B. After
        C. Have not yet "come out"

39.  Compared to other people how creative do you consider yourself?  _____
        A. Much lower than average
        B. Lower than average
        C. Average
        D. Higher than average
        E. Much higher than average

40.  How many (if any) of your children suffer from congenital defects (Down's
        syndrome, PKU) ?  _____

41.  The time I spend with my parents is rewarding.  _____
        A. Strongly disagree
        B. Disagree
        C. Neutral
        D. Agree
        E. Strongly agree
Newsgroups: sci.psychology