Natural Medical Institute



We are preparing to assist in a Medical Study which would be the equivalent of a Clinical Trial of semen as a medicine.

If you swallow semen on average three times per week and would be willing to fill out our quick questionnaire each time, we'd love to have your input.

If you would like to participate please please make up an identifier (unique username) and fill out the form below. Then when you return after swallowing, you need only fill out the "Each Time You Swallow" portion.

Thank you for your interest and time.

Semen Therapy Study



US
CAN
UK
EURO
RUSS
ASIA
POLY
AUS
S.AMER
MIDEST
SCAN
Contact: name, email or website

The Semen Therapy Study Official Questionnaire


Fill out this top part after Each Time You Swallow semen or your semen is swallowed

(must be at least three times per week)


Your unique identifier (the same every time) 

Did You Swallow Semen  Did You Donate Semen  Did You Give Oral Sex  Did You Get Oral Sex  Was It With No sex  "Hand Job"  Self "Jerk Off"  Stranger  "Deep Throat"  "Mouth humping"  "Pushing head down"  "Good suction"  Vaginal Contact  Anal Stimulation  Porn  Alcohol  Drugs  Rough Treatment  Glory hole  Through SemenTherapyContacts.com  Another Internet site  Public Toilet  Public Business club/spa/bookstore/videoshop/etc. Free Public Place park/parkinglot/reststop/etc.  Private Home  Prostitution 

Note: 

Rate your desire to receive semen:     1  10 

Rate your pleasure swallowing most recent semen:     1  10 

Rate your desire to donate your semen:     1  10 

Rate your pleasure at having your semen swallowed:     1  10 

Rate the oral sex if involved:     1  10 

Rate the looks of the other person involved:     1  10 

Rate your eagerness to masturbate recalling the swallowing:     1  10 

Rate your orgasms from masturbation:     1  10 

Rate the semen taste:     1  10 

Rate the semen quantity:     1  10 

Rate your excitement with your sex life:     1  10 

Rate your average happiness overall:     1  10 

Rate your satisfaction with your social life:     1  10 

Rate your skin quality:     1  10 

Rate your health overall:     1  10 

Rate your contentment with your weight:     1  10 

Rate your concentration:     1  10 

Rate your optimism of finding love:     1  10 

Rate your stamina:     1  10 

Rate your sex drive:     1  10 

Rate your willpower:     1  10 

Rate your control over your moods:     1  10 

Rate your success at work/school:     1  10 

Rate your attitude at work/school:     1  10 

Rate your relationships with the women in your life:     1  10 

Rate your relationships with the men in your life:     1  10 

Rate your enjoyment of your leisure time:     1  10 

Rate your satisfaction participating in The Semen Therapy Study     1  10 


Rate your erection strength:     1  10 

Rate your semen smell:     1  10 

Women Only


Rate your vaginal wetness:     1  10 


Rate your vaginal smell:     1  10 


Rate your menstrual comfort:     1  10 

Rate your satisfaction with your nipple sensitivity:     1  10 



Only need to fill this section one time

(or when there is a change)


male  female  year you were born 
country you live in 
area of that country 
email address 
Rate your looks     1  10 


Donors Only


Do you want to receive oral sex? yes  no 

Has someone swallowed your semen? yes  no 

How many have swallowed your semen? 

In the last three months how many days has your semen been swallowed? 

In the next three months will you be able to have your semen swallowed three times a week? yes  no 

Would you be willing to have your semen swallow by a stranger? yes  no 





Swallowers Only


Do you want to give men oral sex? yes  no 

Have you swallowed semen? yes  no 

How many men have you swallowed from? 

In the last three months how many days have you swallowed semen? 

In the next three months will you be able to swallow semen three times a week? yes  no 

Would you be willing to swallow semen from a stranger? yes  no 

Medical


You had medical treatment for ________________

You have ongoing medical condition ___________

You expect upcoming treatment _______________

You are on medication ________________________





Semen Therapy
 
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