Weekly Sex Addiction Recovery Assessment For Karuna Healing clients, please fill out this weekly, and we will track the trends. Weekly recovery assessment Name First Last Email(Required) The following questionnaire is to assess for the previous SEVEN DAYS. Please give your best answer.If you had urges to engage in problematic sexual behaviors, on average, how strong and how frequent were your urges? Reminder: our goal is not to get rid of urges. Our goal is to be mindfully aware of them and welcome them while not indulging or giving into them. None Mild Moderate Severe Extreme If you had thoughts come to mind about acting out sexually, how much distress did they give you? None Mild Moderate Severe Extreme How well did you keep your inner circle, bottom line sexual health plan commitments? Completely, no problem Completely, but it was a stuggle I broke my bottom line sexual health plan commitments I broke my bottom line and then I binged or broke them in more serious way than before How much time did you spend total in sexual behaviors in your inner circle (boundaries) and middle circle (ambivalence/"watching")? None 0-15 minutes 15-30 minutes 30-60 minutes 1-3 hrs 4-7 hrs 7-21 hrs 21 hrs+ How well did you do in showing empathy and patience for your partner's betrayal trauma and avoiding narcissistic relational behaviors with your partner? blaming, lying, defensiveness, excuse-making, etc. If not in a relationship, answer according to how you relate with others or yourself. Excellent Very well OK Poor Very poor How well did you show compassion to yourself? Excellent Very well OK Poor Very poor What level was your anxiety? 0 hardly any 1 2 3 4 Extreme What level was your depression? 0 hardly any 1 2 3 4 Extreme How stressful or crazy did life feel (relationships, job/school, finances, etc.)? 0 very low 1 2 3 4 Extremely How well did you do with being present and feeling difficult emotions as they came up and not needing to suppress, distract, or escape? 0 I didn't do well at all with this 1 2 3 4 I did extremely well How well did you do with daily mindfulness, parts check-in, and Ideal Parent mentalization practice? 0 none or little effort 1 2 3 4 Active, daily efforts Otherwise how active were you in recovery: groups, accountability partner calls, 12 Step service, recovery books or podcasts? 0 none or little effort 1 2 3 4 Daily or almost daily -- four or more hours total How well did you do with self-care? (exercise, sleep, diet, intellectual , social, spiritual)? 0 no effort 1 2 3 4 Extremely well Review and uncheck if not applicable I am a current or possible future client of Karuna Healing Recovery Coaching and Therapy Services and consent to allow my therapist or coach to view my report in order to analyze and discuss the results with me.
