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SRV Virginity Survey. Version 9.44.23-B
Name		(pseudonyms acceptable)
Sex		M F
Date of loss		//
Duration of entire event (including undressing and dressing)		hr min sec
Age, at the time
Sex of partner		M F
The sounds that were within earshot: (select all that apply)		a dog barking television arguing a party birds mosquitoes sirens other people losing their virginity other please specify
Comments: