Where are you from?

What is your gender?

What is your age?

What denomination would you classify yourself as?

When was your first exposure to pornography? (Pornography being defined as anything that is designed to make you respond sexually)

How often would you view pornography?

Do you think you have an addiction to pornography? (An addiction being classified as viewing porn more than once a month)

If yes, who was the first person you told about your addiction?

At what age did the church you were attending openly address the issue?

My current church does an adequate job addressing the issue?

Do you struggle with any of the following?

Would you feel comfortable approaching any member of your current church leadership for support if you are struggling with pornography use?

Did your parents ever openly talk about pornography in your home?

If you have tried to stop have you had any withdrawal effects from not looking at porn and masturbating?
Click all that apply.