1 - I have had severe consequences because of my sexual behaviour.

2 - I feel down (e.g. sad or depressed) much of the time because of my sexual behaviour.

3- I have been physically and emotionally abused as an adult or as a child.

4 - I use sex as a way to feel better (intoxicating, tension-reliever, sleeping aid).

5 - Before my sexual behaviour, I want it; afterwards, I regret it.

6 - I have lied often to conceal my sexual behaviour.

7 - Often, I do not like who I am because of my sexual behaviour.

8 - There are periods of time, especially after a binge, when I lose all sexual interest.

9 - I will sometimes alternate between binging and then avoiding sex altogether.

10 - I am too sexual in some parts of my life and not sexual enough in others.

11 - My life is in crisis because of sexual problems.

12 - I have had a number of crises in my life because of sex.

13 - I find less pleasure now than before in the same sexual things.

14 - My mood can shift dramatically around sex

15 - I come from a family that was controlling and rigid about rules.

16 - I come from a family that had negative sexual attitudes.

17 - I come from a family that was not very intimate or close.

18 - After my sexual behaviour, I often feel sad because I hurt people I love.

19 - After my sexual behaviour, I feel despair because of my inability to stop my behaviour.

20 - After my sexual behaviour, I often feel embarrassed and ashamed about my behaviour.

Total

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