1. Viewing pornography is starting to create some issues in my life (interfering with school, work, relationships, chores, plans, free time, etc).
2. I worry that viewing pornography is becoming an compulsive act for me.
3. Even though I try to avoid thinking about pornography, I still fantasize about viewing it.
4. I’m starting to spend time and energy fighting off thoughts of pornography and the desire to view it.
5. I’m beginning to wonder why I’m thinking so much about pornography.
6. I’m surprised at my level of involvement with pornography.
7. I am looking at more hard-core types of pornography.
8. I’m spending more time fantasizing about pornography or sexual things.
9. I’m spending more time fighting off strong urges and desires to view pornography.
10. When I’m trying to stop using pornography, I’m starting to notice (or others are noticing) an increase in withdrawal symptoms (restlessness, irritability, insomnia, etc.).
11. I’ve tried to cut back or stop, but I can only go a couple of weeks without giving in.
12. I’m beginning to wonder why it's so hard to stop.
13. I’m spending a significant amount of time each week thinking about pornography.
14. I’m viewing (or starting to view) types of pornography that are darker.
15. I’m not feeling comfortable with types of pornography I’m viewing and/or would not incorporate them into my own sex life.
16. I have tried to quit on many occasions and I’m starting to feel it’s hopeless.
17. I have lied to cover up my pornography use.
18. I'm paying to download or watch online pornography.
19. I spend a significant amount of time each day thinking about pornography and sexual things and/or viewing pornography.
20. I feel that initially, pornography was for excitement and entertainment. However, over time, pornography has become more and more obsessive.
21. I have a collection of pornography (videos, magazines, DVD's etc.) and have been caught using pornography on one or more occasions.
22. No matter what I do to stop viewing pornography fails and I'm starting to realize I can’t stop on my own.
23. I have experienced some sort of ‘loss’ due to my use of pornography. (loss of a job, friend(s), spouse, partner, lover, belief in God, self-respect, etc.)
24. I have started to act out sexually. (voyeurism, explicit conversations, chat rooms, strip clubs, erotic massage parlours, prostitutes, emotional affairs, sexual affairs, masturbating in my car or in public etc).
25. I have images from sex scenes I can't get out of my head.
26. When having sex with a real live person, I am/may
- have difficulty achieving or maintaining an erection;
- have difficulty achieving climax;
- replay pornographic scenes in my mind; or
- fantasize about sex acts I have seen and would like to do with my partner, but feel he/she would not be willing.
27. I feel hopeless, sad or depressed and have contemplated suicide.
(1-6)   Any "Yes" answer indicates the start of issues with pornography.
(7- 12)   Any "Yes" answer indicates a problem with pornography to a level where you should consider professional and/or non-professional support.
(13-17)   Any "Yes" answer indicates a problem with pornography to a level where you should seek professional counselling.
(18-26)   Any "Yes" answer indicates a serious and growing issue with pornography where professional counselling is strongly encouraged.
(27)   Answering "Yes" to #27 indicates that you should seek immediate help. Immediate help for suicidal thoughts can be found by calling 911, your local crisis line (705-728-5044 for Simcoe County), or by going to your local hospital emergency.