YES NO
1.
Have you felt hurt or embarrassed by
someone’s sexual conduct?
2.
Have you secretly searched for clues about someone’s sexual behavior?
3.
Have you lied about or covered up another person’s sexual conduct?
4.
Have you had money problems because of
someone’s sexual behavior?
5.
Have you felt betrayed or abandoned by someone you loved and trusted?
6.
Are you
afraid to upset the sexaholic for fear that he or she will
leave you?
7.
Have you tried to control somebody’s sexual thoughts or
behavior by doing things like throwing away pornography,
dressing suggestively, or being sexual with them in order to
keep them from being sexual with others?
8.
Have you used sex to try to keep peace in a relationship?
9.
Have you tried to convince yourself that someone else’s
sexual thoughts and behavior shouldn’t bother you?
10.
Have you felt that sex plays an all-consuming role in your
relationship?
11.
Have you doubted your attractiveness, your emotions, and
your sanity?
12.
Have you felt responsible for the sexual behavior of
another person?
13.
Have you felt angry and/or stupid for not knowing about
someone’s sexual acting out behavior?
14.
Have you engaged in uncomfortable, unwanted, or physically
dangerous sexual behavior?
15.
Have you ever thought about or attempted suicide because of
someone’s sexual behavior?
16.
Has your preoccupation with someone’s sexual thoughts and
behavior affected your relationships with your children,
your co-workers, and/or other friends or family members?
17.
Have you neglected your physical and/or emotional health
while in a relationship?
18.
Have you helped someone get out of jail or other legal
trouble, or feared legal action as a result of his or her
sexual behavior?
19.
Have you blamed other people, such as friends or sexual
partners, society in general, his/her job, religion, or
birth family for someone’s sexual behavior?
20.
Have you felt confused about what is true when talking with
someone about his or her sexual thoughts or behavior?
21.
Have you avoided painful emotions by using drugs, alcohol,
or food or by being too busy?
22.
Have you ever felt that someone was inappropriately
attracted to you or your children?
23.
Have you felt alone or too ashamed to ask for help?