Brief Pornography Screen (BPS)	Date:
	ID#:
Directions : In the last 6 months, have any of these situations happened to you in regards to your use of pornography?	Never	Occasionally	Very Often
You find yourself using pornography more than you want to.	0	1	2
You have attempted to “cut back” or stop using pornography, but were unsuccessful.	0	1	2
You find it difficult to resist strong urges to use pornography.	0	1	2
You find yourself using pornography to cope with strong emotions (e.g., sadness, anger, loneliness, etc.).	0	1	2
You continue to use pornography even though you feel guilty about it.	0	1	2

Scoring . A score of 4 ≥ is considered a positive screen for possible problematic pornography use. Additional examination for possible problematic pornography use is encouraged.