​Phone: 631.332.2213
Email: Suezola@me.com
Address: Commack, NY 11725

Self Assessments


  • How Do I Know if I’m a Sex Addict?
SAAA fellowship of men and women who share their experience, strength and hope with each other so they may overcome their sexual addiction and help others recover from sexual addiction or dependency.

1 Do you keep secrets about your sexual behavior or romantic fantasies from those important to you? Do you lead a double life?
Yes No
2 Have your desires driven you to have sex in places or with people you would not normally choose?
Yes No
3 Do you need greater variety, increased frequency, or more extreme sexual activities to achieve the same level of excitement or relief?
Yes No
4 Does your use of pornography occupy large amounts of time and/or jeopardize your significant relationships or employment?
Yes No
5 Do your relationships become distorted with sexual preoccupation? Does each new relationship have the same destructive pattern which prompted you to leave the last one?
Yes No
6 Do you frequently want to get away from a partner after having sex? Do you feel remorse, shame, or guilt after a sexual encounter?
Yes No
7 Have your sexual practices caused you legal problems? Could your sexual practices cause you legal problems?
Yes No
8 Does your pursuit of sex or sexual fantasy conflict with your moral standards or interfere with your personal spiritual journey?
Yes No
9 Do your sexual activities involve coercion, violence, or the threat of disease?
Yes No
10 Has your sexual behavior or pursuit of sexual relationships ever left you feeling hopeless, alienated from others, or suicidal?
Yes No
11 Does your preoccupation with sexual fantasies cause problems in any area of your life - even when you do not act out your fantasies?
Yes No
12 Do you compulsively avoid sexual activity due to fear of sex or intimacy? Does your sexual avoidance consume you mentally?
Yes No
If you answered “Yes” to more than one of these questions, we encourage you to seek help:
  • Contact a Certified Sex Addiction Therapist (CSAT)
  • Read additional material about sex addiction
  • Attend an SAA meeting to learn more about the Twelve-Step program and the Fellowship of SAA.


Instructions: This questionnaire consists of 21 groups of statements. Please read each group of statements carefully. And then pick out the one statement in each group that best describes the way you have been feeling during the past two weeks, including today. Circle the number beside the statement you have picked. If several statements in the group seem to apply equally well, circle the highest number for that group. Be sure that you do not choose more than one statement for any group, including Item 16 (Changes in Sleeping Pattern) or Item 18 (Changes in Appetite).

1. Sadness
  1. I do not feel sad.
  2. I feel sad much of the time.
  3. I am sad all the time.
  4. I am so sad or unhappy that I can't stand it.
2. Pessimism
  1. I am not discouraged about my future.
  2. I feel more discouraged about my future than I used to.
  3. I do not expect things to work out for me.
  4. I feel my future is hopeless and will only get worse.
3. Past Failure
  1. I do not feel like a failure.
  2. I have failed more than I should have.
  3. As I look back, I see a lot of failures.
  4. I feel I am a total failure as a person.
4. Loss of Pleasure
0. I get as much pleasure as I ever did from the things I enjoy.
1. I don't enjoy things as much as I used to.
2 I get very little pleasure from the things I used to enjoy.
3 I can't get any pleasure from the things I used to enjoy.

5. Guilty Feelings
0. I don't feel particularly guilty.
1 I feel guilty over many things I have done or should have done.
2 I feel quite guilty most of the time.
3 I feel guilty all of the time.

6. Punishment Feelings
  1. I don't feel I am being punished.
  2. I feel I may be punished.
  3. I expect to be punished.
  4. I feel I am being punished.
7. Self-Dislike
  1. I feel the same about myself as ever.
  2. I have lost confidence in myself.
  3. I am disappointed in myself.
  4. I dislike myself.
8. Self-Criticalness
  1. I don't criticize or blame myself more than usual.
  2. I am more critical of myself than I used to be.
  3. I criticize myself for all of my faults.
  4. I blame myself for everything bad that happens.
9. Suicidal Thoughts or Wishes
  1. I don't have any thoughts of killing myself.
  2. I have thoughts of killing myself, but I would not
    carry them out.
  3. I would like to kill myself.
  4. I would kill myself if I had the chance.
10. Crying
  1. I don't cry anymore than I used to.
  2. I cry more than I used to.
  3. I cry over every little thing.
  4. I feel like crying, but I can't.
11. Agitation
0. I am no more restless or wound up than usual.
  1. I feel more restless or wound up than usual.
  2. I am so restless or agitated, it's hard to stay still.
  3. I am so restless or agitated that I have to keep
    moving or doing something.
12. Loss of Interest
0. I have not lost interest in other people or activities.
1. I am less interested in other people or things than before.
  1. I have lost most of my interest in other people or things.
  2. It's hard to get interested in anything.
13. Indecisiveness
0. I make decisions about as well as ever.
1. I find it more difficult to make decisions than usual.
2. I have much greater difficulty in making decisions than I used to.
3. I have trouble making any decisions.

14. Worthlessness
0. I do not feel I am worthless.
1. I don't consider myself as worthwhile and useful as I used to.
2. I feel more worthless as compared to others.
3. I feel utterly worthless.

15. Loss of Energy
0. I have as much energy as ever.
  1. I have less energy than I used to have.
  2. I don't have enough energy to do very much.
  3. I don't have enough energy to do anything.
16. Changes in Sleeping Pattern
0. I have not experienced any change in my sleeping.
1a I sleep somewhat more than usual. 1b I sleep somewhat less than usual.
  1. 2a  I sleep a lot more than usual.
  2. 2b  I sleep a lot less than usual.
  3. 3a  I sleep most of the day.
  4. 3b  I wake up 1-2 hours early and can't get back to sleep.
17. Irritabilitypage3image481907136
0. I am not more irritable than usual.
  1. I am more irritable than usual.
  2. I am much more irritable than usual.
  3. I am irritable all the time.
18. Changes in Appetite
0. I have not experienced any change in my appetite.
1a My appetite is somewhat less than usual.
1b My appetite is somewhat greater than usual. 2a My appetite is much less than before.
2b My appetite is much greater than usual.
3a I have no appetite at all. 3b I crave food all the time.

19. Concentration Difficulty
0. I can concentrate as well as ever.
1. I can't concentrate as well as usual.
2. It's hard to keep my mind on anything for very long.
3. I find I can't concentrate on anything.

20. Tiredness or Fatigue
0. I am no more tired or fatigued than usual.
1. I get more tired or fatigued more easily than usual.
2. I am too tired or fatigued to do a lot of the things I used to do.
3. I am too tired or fatigued to do most of the things I used to do.

21. Loss of Interest in Sex
  1. I have not noticed any recent change in my interest in sex.
  2. I am less interested in sex than I used to be.
  3. I am much less interested in sex now.
  4. I have lost interest in sex completely.
Total Score: _______
Now that you have completed the questionnaire, add up the score for each of the twenty-one questions by counting the number to the right of each question you marked. The highest possible total for the whole test would be sixty-three. This would mean you circled number three on all twenty-one questions. Since the lowest possible score for each question is zero, the lowest possible score for the test would be zero. This would mean you circles zero on each question. You can evaluate your depression according to the Table below.
Total Score____________________Levels of Depression
1-10____________________These ups and downs are considered normal
11-16___________________ Mild mood disturbance
17-20___________________Borderline clinical depression
21-30___________________Moderate depression
31-40___________________Severe depression
over 40__________________Extreme depressionpage3image482022544page3image482022864page3image482023120

Beck Anxiety Inventory
Below is a list of common symptoms of anxiety. Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the past month, including today, by circling the number in the corresponding space in the column next to each symptom.

page1image40712240Not At Allpage1image844086336Mildly but it didn’t bother me much.Moderately - it wasn’t pleasant at timespage1image40496496 page1image40497008Severely – it bothered me a lot
Numbness or tinglingpage1image404410400page1image4044228812page1image40443280 page1image403833123
Feeling hotpage1image405696480page1image4057529612page1image40384784 page1image405036803
Wobbliness in legspage1image403862080page1image4044651212page1image40506048 page1image404469923
Unable to relaxpage1image403303200page1image40506864page1image403896161page1image403911202page1image40507952 page1image402703683page1image40271328 page1image40330880
Fear of worst happening 0 12 3
Dizzy or lightheadedpage1image405123040page1image40395168page1image403363201page1image403958402page1image40275488 page1image402760643page1image40457776 page1image40514688
Heart pounding/racing  0
12 3
Unsteadypage1image402783200page1image4046057612page1image40400464 page1image405171043
Terrified or afraidpage1image402821120page1image4051939212page1image40404160 page1image403435043
Nervouspage1image404634880page1image4052259212page1image40523984 page1image404053443
Feeling of chokingpage1image402918560page1image4052467212page1image40348688 page1image404088483
Hands tremblingpage1image404691520page1image40469984page1image404704321page1image404103842page1image40352944 page1image402968003page1image40352640 page1image40295456
Shaky / unsteady  0  1 2 3
Fear of losing controlpage1image405339200page1image4041700812page1image40415488 page1image404763363
Difficulty in breathingpage1image405352000page1image4035857612page1image40360832 page1image403045763
Fear of dyingpage1image405376480page1image4036187212page1image40421568 page1image403626083
Scaredpage1image405403360page1image4036385612page1image40309760 page1image403085603
Indigestionpage1image404252640page1image4036840012page1image40366800 page1image404874403
Faint / lightheadedpage1image404280000page1image40369984page1image403138881page1image403131682page1image40489568 page1image404890243page1image40546912 page1image40548288
Face flushed 0
2 3
Hot/cold sweatspage1image404331680page1image4031790412page1image40494432 page1image403190723
Column Sumpage1image40378192 page1image40377664page1image3010536512 page1image3010535056
page1image3010538576 page1image3010537920 page1image40555632 page1image40437216
Scoring - Sum each column. Then sum the column totals to achieve a grand score. Write that score here ____________ .
A grand sum between 0 – 21 indicates very low anxiety. That is usually a good thing. However, it is possible that you might be unrealistic in either your assessment which would be denial or that you have learned to “mask” the symptoms commonly associated with anxiety. Too little “anxiety” could indicate that you are detached from yourself, others, or your environment.
A grand sum between 22 – 35 indicates moderate anxiety. Your body is trying to tell you something. Look for patterns as to when and why you experience the symptoms described above. For example, if it occurs prior to public speaking and your job requires a lot of presentations you may want to find ways to calm yourself before speaking or let others do some of the presentations. You may have some conflict issues that need to be resolved. Clearly, it is not “panic” time but you want to find ways to manage the stress you feel.
A grand sum that exceeds 36 is a potential cause for concern. Again, look for patterns or times when you tend to feel the symptoms you have circled. Persistent and high anxiety is not a sign of personal weakness or failure. It is, however, something that needs to be proactively treated or there could be significant impacts to you mentally and physically. You may want to consult a counselor if the feelings persist.

Susan Zola Self Assessment

Susan Zola

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