Your Sex: Male Female

Your age:

Do you masturbate? Yes No

How often do you masturbate? Once a day Twice a day Thrice a day More than four times a day Once a week Twice a week Thrice a week More than three times a week Once a month Twice a month Thrice a month Once or twice a year Regularly, not sure Never  

You started masturbation at the age of:

Have you had sex? Yes No   

You first had sex at the age of:

You usually masturbate in: Bedroom Toilet/Bathroom Other Places Not Sure With friends

Do you watch porn site/movies? Yes No

Your Name:

Your email: (opt)