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Are You A Sex Addict?


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Please complete the following form. An email will be sent immediately following your submission that will instruct you on how to score your survey results. If you have any questions about the form, please email us at sexaddictsurvey@bebroken.com.

(Results are confidential and not accessible by any third parties - your privacy is important to us)

Other helpful assessment tests can be found at:

www.sexhelp.com
www.sa.org
www.sca-recovery.org
www.netaddiction.com

First Name
E-mail Address: *
1. Have you engaged in sexual behaviors that you wish you could stop? *
Yes
No
2. Do you feel abnormally driven by your sexual drive? *
Yes
No
3. Have you been in relationships just for sex? *
Yes
No
4. Has masturbation been ongoing even after marriage? *
Yes
No
5. Have you continued to use pornography after entering a long term committed sexual relationship? *
Yes
No
6. Does your sexuality seem to be dragging down your personal potential? *
Yes
No
7. Do you find that you spend a significant amount of time viewing pornography or grooming others for sexual encounters? *
Yes
No
8. Have you experienced an unwanted sexual encounter during childhood or adolescence? *
Yes
No
9. Has monogamous sex grown to be boring? *
Yes
No
Comments
* Required

 

This test was developed by Jayson Graves, M. MFT., Sexual Addiction Specialist and Therapist.


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