Sexual Self Course Survey Title*MissMsMrsMrName* First Last Email* Landline* Mobile* Country* Postcode* Age Bracket* Under 18 18 - 25 26 - 34 35 - 44 45+ How did you hear about Getting Naked?* Reasons for enrolling in the Sexual Self course* What would you like to achieve by completing the course?* Please rate yourself from 1-10 in each area so we have a snapshot of where you are right now. 1 being awful and 10 being amazing!Relationship with Self* 1 2 3 4 5 6 7 8 9 10 Relationship with your sexual self* 1 2 3 4 5 6 7 8 9 10 Do you have trouble reaching orgasm?*YesNoDo you feel shame, fear or guilt around sex?*YesNoHow nourishing are your current sexual experiences with another person?* 1 2 3 4 5 6 7 8 9 10 How comfortable do you feel self-pleasuring?* 1 2 3 4 5 6 7 8 9 10 Please ensure you have read the full terms and conditions here. By ticking this box you acknowledge that you understand and agree to the terms and conditions outlined.* Yes I understand and agree Δ
