1. Have you ever thought
you needed help for your sexual thinking or behavior?
2. That you'd be better
off if you didn't keep "giving in"?
3. That sex or stimuli
are controlling you?
4. Have you ever tried
to stop or limit doing what you felt was wrong in your sexual behavior?
5. Do you resort to sex
to escape, relieve anxiety, or because you can't cope?
6. Do you feel guilt, remorse,
or depression afterward?
7. Has your pursuit of
sex become more compulsive?
8. Does it interfere with
relations with your spouse?
9. Do you have to resort
to images or memories during sex?
10. Does an irresistible
impulse arise when the other party makes the overtures or sex is offered?
11. Do you keep going from
one relationship or lover to another?
12. Do you feel the right
relationship would help you stop lusting, masturbating, or being so
promiscuous?
13. Do you have a destructive
need - a desperate sexual or emotional need for someone?
14. Does pursuit of sex
make you careless for yourself or the welfare of your family or others?
15. Has your effectiveness
or concentration decreased as sex has become more compulsive?
16. Do you lose time from
work for it?
17. Do you turn to a lower
environment when pursuing sex?
18. Do you want to get
away from the sex partner as soon as possible after the act?
19. Although your spouse
is sexually compatible, do you still masturbate or have sex with others?
20. Have you ever been
arrested for a sex related offense?