Please complete the following form. An email will be sent immediately following your submission that will instruct you on how to score your survey results. If you have any questions about the form, please email us at sexaddictsurvey@bebroken.com.
This test does not represent a clinical diagnosis of any kind, therefore you should seek professional counseling assistance for an accurate diagnosis and qualified treatment. For help in locating such professionals, please visit http://counselors.bebroken.com.
(Results are confidential and not accessible by any third parties - your privacy is important to us)
This test was developed by Jayson Graves, M. MFT., Sexual Addiction Specialist and Therapist.
For additional help in overcoming pornography and sexual addiction, visit the following links:
Bebroken.com
GatewayMen.com
PureSexRadio.com
Click here for additional links