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100% of survey complete.

General Information

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* 1. Age?

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* 2. Gender

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* 3. Sexual Orientation?

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* 4. Where do you currently live?

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* 5. At what age do you think your problem started?

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* 6. Which of the following statements are true for you?

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* 7. Please rate your current self esteem based on a 1 to 5 scale where 1 is very low and 5 is very high

  Very Low Low Average Good Very Good
My current self esteem is:

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* 8. Please indicate which of the following professionals you have approached for help with your problem

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* 9. Which of the following behaviours do you, or did you, engage in as part of your sexual addiction?

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* 10. What triggered you to seek help for problem today?

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