Trauma Inventory for Partners of Sex Addicts (TIPSA.V2.2) (Page 1 of 13)

It has been said that some men and women report post-traumatic stress disorder (PTSD) symptoms when they discover their partner's sexual betrayal. In an effort to better understand this the following survey has been designed to assess the validity of this claim. The survey also has questions regarding early life experiences, life satisfaction, and relationship satisfaction. Completing this survey will aid professional therapists in their work with individuals and couples dealing with sexual betrayal in their lives and their relationships.

Thanks for your participation.

This survey has 129 questions and will take about 30-35 minutes to complete. For research purposes it is important that you complete each question to the best of your ability. Once you have completed this assessment you will be given the opportunity to receive more information regarding this topic if you desire.

Please carefully review each question and mark the response that most accurately describes your experiences. Your answers are confidential and will be used for research purposes. By completing this assessment you agree to allow us to use your answers for research purposes.

(Important Reminder: If the questions in this survey trigger emotional discomfort, please contact a professional therapist as soon as possible.)

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* 1. I experience intense feelings of indescribable fear since discovering my partner’s sexual misbehaviors.

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* 2. I have feelings of helplessness since discovering my partner’s behaviors.

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* 3. My partner has hurt me while acting out his/her sexual fantasies.

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* 4. Due to my partner’s sexual behaviors I have become concerned that I might contract a sexually transmitted disease.

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* 5. Since discovering my partner’s behaviors, I have a hard time determining who is safe to be around and who is not safe to be around.

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* 6. I felt safe with my partner until I discovered his/her sexual behaviors.

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* 7. I feel violated due to my partner’s sexual behaviors.

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* 8. I feel like my partner will never stop sexually acting out.

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* 9. Since learning of my partner's behaviors, he/she has hurt, hit, or threatened me.

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* 10. Since learning of my partner's behaviors, I am afraid of my partner.

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* 11. My partner has forced me to have sex with him/her?

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* 12. Have you been pressured to perform sexually in ways that were uncomfortable to you (i.e. Forced painful sex, being watched while having sex with others, anal sex, sexual domination, being filmed, sexual domination)

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* 13. Have you been physically harmed through sex acts with your partner?

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* 14. Have you been injured by your partner during sex and as a result sought medical help?

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