Sexual Addiction Screening Test (SAST)
Patrick Carnes, Ph. D. & Sharon O’Hara, MA

To complete the test, answer each question by placing a check in the appropriate yes/no column: (download a printable assessment)

1. Yes ____ No ____ Were you sexually abused as a child or adolescent?

2. Yes ____ No ____ Do you regularly purchase romance novels or sexually explicit magazines?

3. Yes ____ No ____ Do you often find yourself preoccupied with sexual thoughts?

4. Yes ____ No ____ Do you ever feel your sexual behavior is not normal?

5. Yes ____ No ____ Has your sexual behavior ever created problems for you and your family?

6. Yes ____ No ____ Have you ever sought help for sexual behavior you did not like?

7. Yes ____ No ____ Has anyone been hurt emotionally because of your sexual behavior?

8. Yes ____ No ____ Have you made efforts to quit a type of sexual activity and failed?

9. Yes ____ No ____ Do you hide some of your sexual behaviors from others?

10. Yes ____ No ____ Have you felt bad about your sexual behaviors?

11. Yes ____ No ____ When you have sex, do you feel depressed afterwards?

12. Yes ____ No ____ Do you feel controlled by your sexual desire?

13. Yes ____ No ____ Have important parts of your life (such as job, family, friends, leisure activities) been neglected because you were spending too much time on sex?

14. Yes ____ No ____ Has sex (or romantic fantasies) been a way for you to escape your problems?

15. Yes ____ No ____ Has the Internet created sexual problems for you?

16. Yes ____ No ____ Have you used the Internet to make romantic or erotic connections with people online?

17. Yes ____ No ____ Have people in your life been upset about your sexual activities online?

18. Yes ____ No ____ Have you been sexual with minors?

19. Yes ____ No ____ Have you spent time and money on strip clubs, adult bookstores and movie houses?

20. Yes ____ No ____ Have you spent time surfing pornography online?

21. Yes ____ No ____ Have you used magazines, videos or online pornography even when there was considerable risk of being caught by family members who would be upset by your behavior?

22. Yes ____ No ____ Have stayed in romantic relationships after they became emotionally or physically abusive?

23. Yes ____ No ____ Have you maintained multiple romantic or sexual relationships at the same time?

24. Yes ____ No ____ After sexually acting out, do you sometimes refrain from all sex for a significant period?

25. Yes ____ No ____ Have you regularly engaged in sadomasochistic behavior?

26. Yes ____ No ____ Have you engaged in unsafe or "risky" sex even though you knew it could cause you harm?

27. Yes ____ No ____ Have you cruised public restrooms, rest areas or parks looking for sex with strangers?

28. Yes ____ No ____ Do you believe casual or anonymous sex has kept you from having more long-term intimate relationships?

Totals: Yes ____ No ____

  • If you answered “yes” to 1-3 of these statements, these may be areas of concern. Seek to find someone to have an open discussion with about these issues.
  • If you answered “yes” to 3 or more statements, consider seeking professional help or finding a Twelve Step support group.
  • If you answered “yes” to 6 or more statements, you definitely have the potential for self-abusive and/or dangerous consequences.

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