Sex Addiction Severity Assessment Took SASAT

How long have you be struggling with the sexual behaviours that have brought you here today? *

Have you had similar difficulties in the past? If yes, please specify *

Have you noticed that you need more and more stimuli or risk in order to achieve the same level of arousal and excitement or spend an increasing amount of time engaging in your behaviours? If yes, please specify *

Do you currently, or have you in the past, struggled with any other addictions, compulsive behaviours or eating disorders? Such as drug, alcohol addiction, compulsive gambling, gaming, work or exercise, collecting? If yes, please specify *

Has anyone in your family currently, or in the past, struggled with any addictions, compulsive behaviours or eating disorders such as those listed above? If yes, please specify *

Have you experienced, or witnessed a significant trauma? If yes, please specify including details of any associated treatment and/or therapy *

Over an average 6 months of active addiction, how often have you engaged in the following behaviours

Do you find yourself pre-occupied with either planning for, fantasising about or recovering from your sexual behaviours ? *

Do your behaviours have a negative impact on your relationship? Or your ability to start a relationship? *

Do your behaviours have a negative impact on your family, friends, work, relaxation time or finances? *

Do you engage in sexual behaviours in spite of potential risk of physical or emotional harm to yourself or others? *

How often have you engaged in your behaviours to relieve /depressed feelings/ low mood or boredom? *

How often have you engaged in your behaviours to alleviate stress and stressful feelings? *

Other (please specify) / Comments

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Sex Addiction Severity Assesment Tool

Over an average 6 months of active addiction, how often have you engaged in the following behaviours

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