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What is your age range?

 
18-21
 
22-25
 
26-29
 
30 or older
 
 
 
Please select your ethnic background:

 
White or Caucasian (not of Hispanic Origin)
 
Black or African American (not of Hispanic Origin)
 
Asian
 
Hispanic or Latino
 
American Indian or Native Alaskan
 
Native Hawaiian or Pacific Islander
 
Mixed/Other
 
Decline to Answer
 
 
 
Please select your gender
 
Female
 
Male
 
 
 
Have you previously been in a serious or committed relationship?
 
Yes
 
No
 
 
 
How old were you when you began your first serious or committed relationship?

 
Under 18
 
18-21
 
22-25
 
26-29
 
30 or older
 
Does not apply
 
 
 
Are you still in a relationship with that person?
 
Yes
 
No
 
 
 
Have you been in more than one serious or committed relationship?
 
Yes
 
No
 
 
 
If so, how many?
 
1-2
 
3-4
 
5-6
 
6 or more
 
Does not apply
 
 
 
Have you ever been cheated on?
 
Yes
 
No
 
 
 
Was it emotional infidelity?
 
Yes
 
No
 
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