Adult Circumcision - Recording Sheet
Research Study - Recording Sheet - for those planning on being circumcised as an adult
Part 1:
| With Tape: | |||||
| # | Date | Intensity of Sensations (A) | Time to reach Orgasm (B) | Comments | |
| During Intercourse | During Orgasm | ||||
| Example | 6 | 4 | R | my head was extra large and sensitive | |
| 1 | |||||
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| 10 | |||||
| Summary | Add numbers for intensity | ||||
(A) Choices: Outstanding (6 points), Excellent (4 points), Good (2 points), Okay (1 point), Poor (0 points)
(B) Choices: Too Fast (F), Just Right (R), Too Slow (S)
Part 2:
| Without Tape: | |||||
| # | Date | Intensity of Sensations (A) | Time to reach Orgasm (B) | Comments | |
| During Intercourse | During Orgasm | ||||
| Example | 2 | 2 | S | it was hard to reach orgasm | |
| 1 | |||||
| 2 | |||||
| 3 | |||||
| 4 | |||||
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| 9 | |||||
| 10 | |||||
| Summary | Add numbers for intensity | ||||
(A) Choices: Outstanding (6 points), Excellent (4 points), Good (2 points), Okay (1 point), Poor (0 points)
(B) Choices: Too Fast (F), Just Right (R), Too Slow (S)
Part 3:
| After being Circumcised: | |||||
| # | Date | Intensity of Sensations (A) | Time to reach Orgasm (B) | Comments | |
| During Intercourse | During Orgasm | ||||
| Example | 6 | 4 | R | my head was extra large and sensitive | |
| 1 | |||||
| 2 | |||||
| 3 | |||||
| 4 | |||||
| 5 | |||||
| 6 | |||||
| 7 | |||||
| 8 | |||||
| 9 | |||||
| 10 | |||||
| Summary | Add numbers for intensity | ||||
(A) Choices: Outstanding (6 points), Excellent (4 points), Good (2 points), Okay (1 point), Poor (0 points)
(B) Choices: Too Fast (F), Just Right (R), Too Slow (S)
Part 4 - Summary Questions:
| Question | Answer |
| 1 - What was your primary reason for having a circumcision? | |
| 2 - What circumcision technique did the surgeon use? | |
| 3 - How many centimeters from your glans is the circumcision scar? | |
| 4 - Summary comments regarding the intensity of sensations during Intercourse when using tape? | |
| 5 - Summary comments regarding the intensity of sensations during Intercourse after having a circumcision? | |
| 6 - Summary comments regarding the intensity of sensations during Orgasm when using tape? | |
| 7 - Summary comments regarding the intensity of sensations during Orgasm after having a circumcision? | |
| 8 - What is your age bracket? (under 20, 20-29, 30-39, 40-49, 50-59, over 60) | |
| 9 - Before having a circumcision, did you leave your foreskin open or closed? | |
| 10 - In conclusion, are the sensations after circumcision as good as the sensations using tape? |
Instructions: Print this page, keep the printout in your nightstand, filling out a row every time you have sex. Copy/paste this page into a HTML-capable email program. (Outlook Express, a free email program distributed by Microsoft with Internet Explorer, is one option.) Fill out all the rows on the email.
When finished, email to: mailto:MSWC@altavista.net