SEPARATION AND DIVORCE
1. During the course of your marriage to the plaintiff (or, insert the relevant time period), did you engage or participate in any act or conduct involving intimate sexual relations or intercourse with anyone other than the plaintiff?
2. If your answer to the preceding interrogatory is in the affirmative, please state as to each such act or conduct:
a. The date and frequency,
b. The place,
c. The identification of each person involved by name and last known address,
d. A description of each act or conduct, and
e. An explanation of any reason, cause or justification for violating your marriage vows.