1. Do you often lie to your family members or significant others about your porn watching behaviour?
Never
1- 2 times
Seldom
Sometimes
Frequently
2. Are you mostly remain occupied with sexual thoughts and images?
Never
1- 2 times
Seldom
Sometimes
Frequently
3. Do you watch porn/ masturbate in order to avoid or escape negative feelings and problem or to feel better
Never
1- 2 times
Seldom
Sometimes
Frequently
4. Do you feel restless, moody, and irritated when you try to cut down or stop indulging in porn?
Never
1- 2 times
Seldom
Sometimes
Frequently
5. Is your use of pornography affecting your education, recreation time, socializing time, work and relationships?
Never
1- 2 times
Seldom
Sometimes
Frequently
6. Do you often erase browsing history or take action to hide your porn watching in order to avoid getting caught?
Never
1- 2 times
Seldom
Sometimes
Frequently
7. Do you still indulge in porn knowing that it will cause demage to your social relationships and personal functioning?
Never
1- 2 times
Seldom
Sometimes
Frequently
8. Do you get worried thinking that something is wrong with you because of your sexual thoughts and feelings?
Never
1- 2 times
Seldom
Sometimes
Frequently
9. Has your porn watching periods increased from before?
Never
1- 2 times
Seldom
Sometimes
Frequently
10. Do you keep scannning through newspapers, magazine, tv channels just to find something sexually stimulating?
Never
1- 2 times
Seldom
Sometimes
Frequently
11. Do you experience failure to resist or cut down porn watching and masturbating behaviour?
Never
1- 2 times
Seldom
Sometimes
Frequently
12. Do you still watch porn inspite of experiencing problems related to it?
Never
1- 2 times
Seldom
Sometimes
Frequently
13. I feel there is nothing wrong in watching porn excessively?
Yes
No
14. I should try to reduce , but sometimes I end up watching porn excessively
Yes
No
15. I am trying to reduce my porn watching and masturbating habit
Yes
No
16. I am activley able to reduce my porn watching and masturbating habit
Yes
No
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