Porn Addiction Survey The following questions can help you determine if you have an addiction to pornography. Please answer each question honestly; your results will remain confidential. These questions are designed as an assessment too. Regardless of the results, there is hope to overcome your struggles with online pornographic materials. No personal or identifying information is collected with this assessment. It is completely anonymous and for your benefit.Do you ever find yourself spending more time viewing pornography than you intended to?*YesNoAre you spending less time with family and friends than you used to because of time with pornography?*YesNoDo you usually masturbate while viewing pornography?*YesNoHas your job performance suffered as a result of porn use?*YesNoHas your use of pornography caused problems with your spouse or romantic partner?*YesNoDo you sometimes prefer masturbation with pornography over sex with your spouse or significant other?*YesNoDo you ever wake up tired because of late-night use of pornography?*YesNoDo you keep your porn use secret from others, sometimes lying to cover it up?*YesNoDo you sometimes fantasize about people you’ve seen in pornography while having real sex with a partner?*YesNoHas your pornography use caused trouble with the law?*YesNoDo you seek sexual images that are more graphic, hard-core or “forbidden” than you once did?*YesNoHave you ever promised yourself that you would stop viewing pornography, then broken that resolution?*YesNoDo you ever get upset at yourself for the time and resources you spend on pornography?*YesNoDo you keep viewing porn even when you know you should really be going home or going to bed?*YesNoHave you lost the ability to find sufficient excitement in pornography and gone beyond that to seek others for sexual chat or illicit sexual encounters?*YesNoDo you feel guilty or ashamed after viewing pornography or other sexual activity?*YesNoDo you worry that your pornography use is getting out of control?*YesNoIs it easier for you to reach climax masturbating to pornography than having sex with a partner?*YesNoHave others said that you have a problem with pornography?*YesNoDo you find yourself looking forward to porn use as a “reward” or “escape” from the stresses of everyday life?*YesNoEmailThis field is for validation purposes and should be left unchanged. Contact Restoring the Soul Ministries for help today Please use the form below to contact us online. We will respond as quickly as possible.Name* First Last Phone*Email* I am in need of soul care for the following.Please let us know if there is a general issue or issues with which you are struggling. Leadership Issues Marriage Issues Relationship Issues Pornography or Other Addiction How else can we help you?*Please let us know as much of the specific nature of your struggles as you feel comfortable sharing. All contents of this form are held in strictest confidence. Please check the box below. Thanks!EmailThis field is for validation purposes and should be left unchanged.