Sexual Health Check-Up©

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1. Do you have difficulty experiencing healthy sexual desires? Or, are you unable to answer this question because you're not sure what defines a "healthy sexual desire"?

2. Would you say that your first sexual experiences in life were appropriate, healthy, and non-traumatic?

3. Do you find that sexual thoughts and urges occupy significantly more or less of your time and energy than seems healthy? Or, are you unable to answer this question because you're not sure what is "healthy?" 

4. Do you have a physically satisfying sexual relationship with a partner that you trust and feel emotionally bonded to?

5. Have you ever spent large sums of money pursuing your sexual urges? Or have you regularly purchased or sold anonymous sex?

6. Are you free of recurring experiences of impotence or inorgasmia?

7. Do you engage in any sexual behavior that is high in risk, that is, could potentially cause disease, legal arrest, personal turmoil, or other harm to yourself or another?

8. Are you able to have enjoyable sexual intimacy without the use of alcohol, drugs, or other mind-altering substances?

9. Do you ever experience feelings of guilt or diminished self-worth because of your past or present sexual behavior?

10. Are you able to experience healthy sexual intimacy without feelings of guilt or shame? Do you feel clear about what constitutes "healthy sexual intimacy?"

11. Have you ever experienced trauma related to sex AND never received successful treatment for it?

12. Do you feel equally comfortable with initiating sexual intimacy and having your partner initiate sexual intimacy? 

13. Did you grow up in a sexually repressive, punishing or sexually promiscuous environment? Or do you feel unsure of what this means? 

14. Do you feel confident in your ability to resolve conflicts or differences with a partner concerning your sexual intimacy?

15. Do you easily grow bored with a sexual partner, or find that you must have constantly changing sexual experiences and/or partners to feel satisfied?

16. Are you able to enjoy sexual intimacy with your partner even when things are not going perfectly, or when you're having minor differences?

17. Do you ever feel that life could be completely satisfying, or even more comfortable and satisfying, without any sexual activity whatsoever?

18. Do you feel comfortable in your sexuality and confident in your ability to perform sexually?

19. Do you find that it's difficult to be sexually intimate with someone you're emotionally close to, or do you find it more sexually stimulating when you don't know your sexual partner well?

20. Are you comfortable talking about sex with your partner, or when appropriate, with other significant persons in your life?

21. Do you find yourself feeling sexually frustrated or deprived much of the time?

22. Do you feel relatively free of guilt, worry, and shame about your sexuality?

23. Have you ever dressed or put on weight so as to make yourself sexually unattractive to others?

24. Are you able to communicate openly and honestly with a sexual partner?

25. Have you ever coerced, forced, or otherwise seduced someone into having sex with you when they really didn't want to?

26. Do you feel reasonably comfortable with the appearance of your body?

27. Have you ever questioned whether your sexual urges might be perverse or psychologically dysfunctional in some way?

28. Do you feel comfortable and satisfied with your gender identity, that is with being male if you're a man, or being female if you're a woman?

29. Do you find yourself spending large amounts of time browsing the Internet in search of pornography or other sexually stimulating materials?

30. Do you feel comfortable and satisfied with your sexual preferences or "sexual maps", that is with the various stimuli (people, behaviors, objects,etc.) that produce sexual arousal in you?

31. Are you in a relationship where sexual intimacy has become nonexistent, or almost so? Or, are you in a relationship that seems almost entirely based on sex? 

If you've answered "yes" to any of the odd numbered items, or "no" to any of the even numbered items, it is recommended that you give consideration to seeking professional consultation.
 
©Maryland Institute, 1998.
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