1. Do you hide your sexual behaviors or romantic fantasies from people who are important to you?
  2. Have your sexual desires led you into situations or toward people you wouldn’t normally choose?
  3. Do you need more variety, frequency, or intensity to achieve the same relief?
  4. Does your use of pornography take up too much time and affect your relationships or work?
  5. Do your relationships repeat destructive patterns linked to sexual preoccupations?
  6. Do you feel guilt, shame, or remorse after sexual encounters?
  7. Have your sexual practices caused or could they cause legal problems?
  8. Does your pursuit of sex conflict with your values or spiritual life?
  9. Do your sexual activities involve risk, coercion, or exposure to disease?
  10. Has your sexual behavior caused despair, isolation, or suicidal thoughts?
  11. Do your sexual fantasies interfere with other areas of your life, even if you don’t act on them?
  12. Do you compulsively avoid sexual activity out of fear of intimacy?

If you answered “yes” to more than one question, we recommend seeking help.