POIS Research Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This survey is designed to survey symptoms from sufferers of post-orgasmic illness syndrome.

What gender are you?

Male

Female

Non-binary

Transgender

Intersex

I prefer not to say

Other:

Clear selection

What age group do you fall into?

18-24

25-34

35-44

45-54

55-64

65-74

74 and over

I prefer not to say

Clear selection

At what age did your POIS symptoms start?

10 - 14 years old

15 - 18 years old

19 - 24 years old

25 - 30 years old

31 to 35 years old

36 - 40 years old

40 - 50 years old

50 - 60 years old

Over 60 years old

Other:

Clear selection

Have you had POIS since your first orgasm or would you say you acquired it some years after that?

I've had POIS since my first orgasm

I acquired POIS later in life, some years after my first orgasm

Other:

Clear selection

For how many years have you suffered from POIS?

Less than a year

Between 1 and 3 years

Between 4 and 6 years

Between 7 and 10 years

Between 11 and 15 years

Between 16 and 20 years

Between 21 and 25 years

Between 26 and 32 years

Between 33 and 40 years

Over 40 years

Clear selection

How soon after orgasm does your POIS start?

For how long does your POIS last?

Please select below the symptoms that you have with POIS

Sensation of a decrease in the ambient temperature

Sensation of an increase in the ambient temperature

Sense of something new circulating in your bloodstream

Sense of pressure in your head

Change to your sense of breathing, e.g. hyperconscious sense of breathing

Tingling sensations

Generalised Anxiety

Social anxiety

Sense of looming depression

Sudden drop in mood

Hypersensitivity to light

Hypersensitivity to noise

Increase in irritability

Fatigue

Brain fog

Headache

Loss of libido

Difficulty getting an erection

Dulling in your experience of sexual stimulation

Difficulty getting in the mood for sex

Change in your facial muscles

Difficulty with cognition

Decrease in personal productivity

Difficulty to feel or be happy or jolly

Difficulty relaxing

Difficulty concentrating

Difficulty expressing yourself

Difficulty holding a normal, relaxed conversation

Decreae in the quality of your sleep

Increased nightmares

Increase in the perceived amount of dreamsleep

Decrease in apetite

Increase in apetite

Increased craving for certain food substances

Increase in aches and pains

Increased overall sensitivity to things around you

Tunnel vision

Change in personality

Sexual stimulation no longer feels pleasant

Increased muscle tension

Increased absent-mindedness

feeling less organised

Constipation

Social impairment

Nausea

Diarrhea

Exhaustion

Muscle pain

Joint pain

Muscle tension

Sinus congestion

Nasal congestion

Itchy eyes

Decreased speech fluency

Depression

Sense of pounding in head

Other:

How do symptoms progress over the duration of your POIS?

Peaks and Troughs throughout the day

They are invariable and constant

Worse at the start then gradually getting better

Worse in the middle of the POIS

Worse at the end of the POIS

Peaks and troughs over the course of the POIS

Not Sure

Other:

Are there times of the day when the POIS symptoms are worse than at other times?

Early morning (6am to 9am)

Mid Morning (9am to 11am)

Late morning (11am to 12pm)

Midday (12pm to 2pm)

Early afternoon (2pm to 4pm)

Late afternoon (4pm to 6pm)

Early evening (6pm to 8pm)

Late evening (8pm to 12pm)

Unsure

POIS symptoms do not vary in intensity

Are there circumstances when the POIS symptoms increase, or are worse?

On waking

When being sedentary (sitting down, resting, lying down etc)

After eating

In social settings

When having to concentrate

No, POIS Symptoms remain constant across all circumstances

Other:

Are there circumstances when the POIS symptoms are relieved, or are attenuated?

By being active

After physical exertion

After sleeping

By eating

Not Sure

Please list any specific foods or drinks which you crave during the POIS attack

Are there any particular foods or drinks that you consume which alleviate the symptoms?

Is there any remedy that you have found successful in alleviating your POIS completely?

Have there been any anomalies shown in blood tests? (please specify)

Many thanks for taking the time to complete this survey. Results will be shared with the POIScenter.com Forum once a sufficient number of responses have been submitted.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms