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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          
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 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          
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 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

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