| 1. |
Were you sexually abused as a child or adolescent? |
| 2. |
Do you regularly purchase romance novels or sexually explicit magazines? |
| 3. |
Have you stayed in a romantic relationship after it became emotionally or physically abusive? |
| 4. |
Do you often find yourself preoccupied with sexual thoughts or romantic daydreams? |
| 5. |
Do you feel that your sexual behavior is normal? |
| 6. |
Does your spouse (or significant other(s)) ever worry or complain about your sexual behavior? |
| 7. |
Do you have trouble stopping your sexual behavior when you know it is inappropriate? |
| 8. |
Do you ever feel bad about your sexual behavior? |
| 9. |
Has your sexual behavior ever created problems for you and your family? |
| 10. |
Have you ever sought help for sexual behavior you did not like? |
| 11. |
Have you ever worried about people finding out about your sexual activities? |
| 12. |
Has anyone been hurt emotionally because of your sexual behavior? |
| 13. |
Have you ever participated in a sexual activity in exchange for money or gifts? |
| 14. |
Do you have times when you act out sexually followed by periods of celibacy (no sex at all)? |
| 15. |
Have you made efforts to quit a type of sexual activity and failed? |
| 16. |
Do you hide some of your sexual behavior from others? |
| 17. |
Do you find yourself having multiple romantic relationships at the same time? |
| 18. |
Have you ever felt degraded by your sexual behavior? |
| 19. |
Have sex or romantic fantasies been a way for you to escape your problems? |
| 20. |
When you have sex, do you feel depressed afterwards? |
| 21. |
Do you regularly engage in sado-masochistic behavior? |
| 22. |
Has your sexual activity interfered with your family life? |
| 23. |
Have you been sexual with minors? |
| 24. |
Do you feel controlled by your sexual desire or fantasies of romance? |
| 25. |
Do you ever think your sexual desire is stronger than you are? |
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