| Not at All | Slightly | Moderately | Very | Extremely | I Have Never Had Sexual Fantasies | |
| (12) Some erotic fantasies can cause DISCOMFORT. How often has this happened to you in the last 6 months? | 0 | 1 | 2 | 3 | 4 | # |
| (13) Some erotic fantasies can cause WORRY. How often has this happened to you in the last 6 months? | 0 | 1 | 2 | 3 | 4 | # |
| (14) Some erotic fantasies can cause a SENSE OF GUILT. How often has this happened to you in the last 6 months? | 0 | 1 | 2 | 3 | 4 | # |
| (15) Some erotic fantasies can cause ANGER. How often has this happened to you in the last 6 months? | 0 | 1 | 2 | 3 | 4 | # |
| (16) Some erotic fantasies can cause FRUSTRATION. How often has this happened to you in the last 6 months? | 0 | 1 | 2 | 3 | 4 | # |
| (17) Some erotic fantasies can cause EMBARRASSMENT. How often has this happened to you in the last 6 months? | 0 | 1 | 2 | 3 | 4 | # |