Survey for PWD

This survey is for those who self identify as someone with a disability, disabled, differently able, or any other such term. Please click here for the survey for partners of people with disabilities. Please feel free to answer as many or as few questions as you’re ok with.

Name:

Name you’d like to be referred to in publications regarding survey:

Age:

Location:

Gender Identity:

Orientation:

Ethnicity/Racial Identity:

Relationship Status(es):

Identities Regarding Dis/ability (examples: person with disability, disabled, differently able, etc):

When did you first (if at all) have sexual feelings? What was the situation in which you felt this way?

How do you define sex?

Does sexuality need to be involve being sexually active? Please share some thoughts on this.

What turns you on?

Do you consider yourself sexually active? If not, will you please share some of the reasons for that (pain, lack of interest, lack of time, etc)?

How often do you masturbate/pleasure yourself, if at all?

If you have a partner, how did you meet?

Did the topic of sex come up? If so, how, and what did that conversation look/sound like?

How often do you participate in sexual activity with your partner(s), if at all?

Have you ever had a partner that did something really wonderful to help you feel more sexual/that made being sexual easier? If so, what was it?

Have you ever had a partner that did something really frustrating which made it difficult to feel sexual/that made being sexual harder? If so, what was it?

What tricks or techniques have you discovered to make sex possible/easier/more satisfying (new positions, toys, conversations, different ways to experience sex, etc)?

What have been some of the attitudes and/or difficulties you’ve personally faced regarding sexuality  dis/ability?

What else would you like to share about your experiences with sexuality and dis/ability?

What questions should have been asked, but weren’t?

Would you be willing to answer any follow up questions (via email or phone)? If so, please provide your contact information here:

By filling out this survey, I grant permission to Shanna Katz M.Ed and her staff to use my answers to further develop an understanding of sexuality and dis/ability. My answers may be published either anonymously or using the name I provided above in academic papers, in a book celebrating people with disabilities as sexual beings, etc. If I have any questions, I can always write to Shanna at shannakatz at gmail dot com.

Please type your full name to agree: XXXXXXXXXX  XXXXXXXXXXXXXXXXXXXXXXX

Please send survey to:

SexuallyAbleBook@gmail.com

Or

Shanna Katz

315 S. Bracken Lane

Chandler, AZ 85224