Responses should be based on behavior over the past twelve months
|
| | OPTIONS |
| 1. Do you use porn/masturbation to avoid or escape your feelings and problems or to alter your mood? |
|
| 2. Do you become restless, moody or irritable when attempting to cut down or stop viewing porn? |
|
| 3. Do you find yourself preoccupied with sexual thoughts more often than you would like? |
|
| 4. Does it sometimes seem as if there is a force inside of you that drives you to view pornography? |
|
| 5. Do you feel empty or shameful after viewing pornography or masturbating and wish you could stop? |
|
| 6. Have you ever promised yourself that you would never again view pornography or masturbate? |
|
| 7. Have you lied to your family members, church leaders or others about your pornography viewing? |
|
| 8. Does your use of pornography interfere with, limit or reduce the social, occupational, educational or recreational areas of your life? |
|
| 9. Have you stayed up late at night or woke up during the night to view pornography? |
|
| 10. Do you erase history, “cover tracks” and take steps to hide your porn use to avoid being caught? |
|
| 11. Do you rationalize, justify, minimize or make excuses about your pornography use? |
|
| 12. Do you somehow end up looking at pornography nearly every time you get on the internet? |
|
| 13. Do you worry something is wrong with you because of your sexual thoughts and feelings? |
|
| 14. Have you participated in on-line/internet sexual chats, emails, posts or in sexting? |
|
| 15. Have you lied, stolen, manipulated others or made other unwise choices to view pornography? |
|
| 16. Do you view more pornography and for longer periods of time than you initially intend? |
|
| 17. Do you find yourself viewing more and more porn, or different types of porn to feel the desired excitement? |
|
| 18. Do your sexual thoughts/feelings interfere with your moral/religious beliefs or your family values? |
|
| 19. Do your sexual thoughts and behaviors cause you to feel that you are unclean or unworthy? |
|
| 20. Do you browse through newspapers, magazines or flip though channels on the television just to find something that will stimulate you sexually? |
|
| 21. Do you look for opportunities to be alone so that you can find pornography or masturbate? |
|
| 22. Do you masturbate while viewing pornography? |
|
| 23. Do you continue to view porn despite knowing it may jeopardize or damage your relationships? |
|
| 24. Do you continue to view pornography even after encountering problems related to your viewing? |
|
| 25. Have you experienced repeated unsuccessful efforts to control, cut back or stop viewing porn? |
|
