Table 1.

Questionnaire: Hypersexual behavior in Parkinson’s disease

The following questions address hypersexual behaviors. Please answer the following questions honestly and to the best of your ability. (Please circle your answer)
1.	Yes or No	Do you participate in hypersexual behaviors? If yes, please answer all questions. If no, please proceed to next questionnaire.
2.	Yes or No	Do you engage in compulsive sexual behavior?
3.	Yes or No	Do you exhibit sexual behavior more than you should?
4.	How often do you engage in hypersexual behavior? Circle one:
	Quarterly	Monthly	Weekly	Daily
5.	Yes or No	Did you have hypersexual behavior before your diagnosis?
6.	Yes or No	Has your hypersexual behavior increased since your diagnosis?
7.	Yes or No	Have you noticed an increase in hypersexual behavior since a medication adjustment? If yes, please describe:
8.	What forms of hypersexual behavior do you participate in? You may mark more than one answer.
	Compulsive masturbation
	Prostitution
	Porn mags
	Extramarital affairs
	Porn videos
	Internet porn
	Internet sex chat rooms
	Heterosexual promiscuity
	Homosexual promiscuity
	Telephone sex dependence
	Use of sexual accessories/or toys
	Voyeurism
	Other (please describe)
9.	Yes or No	Is there a history of hypersexual behavior in your family?
10.	Yes or No	Do you have an increased urge to engage in hypersexual behavior?
11.	Yes or No	Does your hypersexual behavior bother you or make you feel guilty?
12.	Yes or No	Has anyone ever said anything to you about your hypersexual behavior?
13.	Yes or No	Do you find yourself exhibiting hypersexual behavior predominantly either “On” or “Off” medication? If yes, please specify:
	On	Off	On and Off
14.	Yes or No	Do you constantly have sexual thoughts?
15.	How do you feel when you are exhibiting hypersexual behavior? You may select more than one answer.
	Nervous	Anxious	Excited	Happy	Relaxed	Sad	Worried
	Depressed	Invincible	Guilty
	Other:
16.	How do you feel when you are not exhibiting hypersexual behavior? You may select more than one answer.
	Nervous	Anxious	Excited	Happy	Relaxed	Sad	Worried
	Depressed	Invincible	Guilty
	Other:
17.	How do you feel after the hypersexual behavior has been exhibited? You may select more than one answer.
	Nervous	Anxious	Excited	Happy	Relaxed	Sad	Worried
	Depressed	Invincible	Guilty
	Other:
18.	Yes or No	Have you ever borrowed money or sold anything to finance your hypersexual behavior?