Relationships

Choose a relationship category from the list below.

For example: – sexual relationship

If you feel that you can only perform this activity 20% of the time (with or without pain) that you would like, choose a 2 as your ability.

Relationships

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DD slash MM slash YYYY
Please choose from one of these activities(Required)

Please indicate your current ability to enjoy this activity(Required)
0 = unable to enjoy at all, 10 = completely able to enjoy