Walking Free Men's Self-Assessment
A confidential, anonymous starting point for honest reflection.
This short, confidential self-assessment can help you take an honest look at your life. It is not a diagnosis. It's a starting point. Answer each statement based on the last 12 months. Your answers are anonymous.
I keep parts of my sexual behavior or thought life hidden from the people closest to me.
*
Never
Sometimes
Often
Almost always
I've tried to stop viewing pornography or acting out sexually, but I couldn't stay stopped.
*
Never
Sometimes
Often
Almost always
I need more time, more extreme content, or more risk to get the same rush or relief.
*
Never
Sometimes
Often
Almost always
Pornography or sexual fantasy takes time and focus away from my family, work, or responsibilities.
*
Never
Sometimes
Often
Almost always
I turn to sexual behavior to escape stress, loneliness, boredom, anger, or pain.
*
Never
Sometimes
Often
Almost always
After acting out, I feel shame, guilt, or regret, and promise myself it won't happen again.
*
Never
Sometimes
Often
Almost always
My sexual behavior goes against what I believe and has put distance between me and God.
*
Never
Sometimes
Often
Almost always
My behavior has hurt, or could hurt, my marriage or relationships if it came to light.
*
Never
Sometimes
Often
Almost always
My sexual behavior has put me at risk legally, financially, at work, or with my health.
*
Never
Sometimes
Often
Almost always
I spend a lot of time thinking about, planning, or recovering from sexual behavior.
*
Never
Sometimes
Often
Almost always
I feel like I'm living a double life.
*
Never
Sometimes
Often
Almost always
My struggle leaves me feeling hopeless, alone, or like I can't go on.
*
Never
Sometimes
Often
Almost always
Would you like someone from our team to reach out?
*
Yes
No
We'll text you to set up a short, confidential call.
First Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Total Score
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