1.      Were you sexually abused as a child or adolescent?

2.      Did your parents have trouble with sexual behavior?

3.      Do you often find yourself preoccupied with sexual thoughts?

4.      Do you feel that your sexual behavior is not normal?

5.      Do you ever feel bad about your sexual behavior?

6.      Has your sexual behavior ever created problems for you and your family?

7.      Have you ever sought help for sexual behavior you did not like?

8.      Has anyone been hurt emotionally because of your sexual behavior?

9.      Are any of your sexual activities against the law?

10.  Have you made efforts to quit a type of sexual activity and failed?

11.  Do you hide some of your sexual behaviors from others?

12.  Have you attempted to stop some parts of your sexual activity?

13.  Have you felt degraded by your sexual behaviors?

14.  When you have sex, do you feel depressed afterwards?

15.  Do you feel controlled by your sexual desire?

16.  Have important parts of your life (such as job, family, friends, leisure activities) been neglected because you were spending too much time on sex?

17.  Do you ever think your sexual desire is stronger than you are?

18.  Is sex almost all you think about?

19.  Has sex (or romantic fantasies) been a way for you to escape your problems?

20.  Has sex become the most important thing in your life?