Question 1/15

How often were you able to get an erection during sexual activity?

  1. No sexual activity
  2. Almost never or never
  3. A few times (less than half the time)
  4. Sometimes (about half the time)
  5. Most times (more than half the time)
  6. Almost always or always
Question 2/15

When you had erections from sexual stimulation, how often were your erections hard enough for penetration?

  1. No sexual activity
  2. Almost never or never
  3. A few times (less than half the time)
  4. Sometimes (about half the time)
  5. Most times (more than half the time)
  6. Almost always or always
Question 3/15

When you attempted intercourse, how often were you able to penetrate (enter) your partner?

  1. Did not attempt intercourse
  2. Almost never or never
  3. A few times (less than half the time)
  4. Sometimes (about half the time)
  5. Most times (more than half the time)
  6. Almost always or always
Question 4/15

During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?

  1. Did not attempt intercourse
  2. Almost never or never
  3. A few times (less than half the time)
  4. Sometimes (about half the time)
  5. Most times (more than half the time)
  6. Almost always or always
Question 5/15

During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?

  1. Did not attempt intercourse
  2. Almost never or never
  3. A few times (less than half the time)
  4. Sometimes (about half the time)
  5. Most times (more than half the time)
  6. Almost always or always
Question 6/15

How many times have you attempted sexual intercourse?

  1. No attempts
  2. Almost never or never
  3. A few times (less than half the time)
  4. Sometimes (about half the time)
  5. Most times (more than half the time)
  6. Almost always or always
Question 7/15

When you attempted sexual intercourse, how often was it satisfactory for you?

  1. Did not attempt intercourse
  2. Almost never or never
  3. A few times (less than half the time)
  4. Sometimes (about half the time)
  5. Most times (more than half the time)
  6. Almost always or always
Question 8/15

How much have you enjoyed sexual intercourse?

  1. No intercourse
  2. No enjoyment at all
  3. Not very enjoyable
  4. Fairly enjoyable
  5. Highly enjoyable
  6. Very highly enjoyable
Question 9/15

When you had sexual stimulation or intercourse, how often did you ejaculate?

  1. No sexual stimulation or intercourse
  2. Almost never or never
  3. A few times (less than half the time)
  4. Sometimes (about half the time)
  5. Most times (more than half the time)
  6. Almost always or always
Question 10/15

When you had sexual stimulation or intercourse, how often did you have the feeling of orgasm or climax?

  1. Almost never or never
  2. A few times (less than half the time)
  3. Sometimes (about half the time)
  4. Most times (more than half the time)
  5. Almost always or always
Question 11/15

How often have you felt sexual desire?

  1. Almost never or never
  2. A few times (less than half the time)
  3. Sometimes (about half the time)
  4. Most times (more than half the time)
  5. Almost always or always
Question 12/15

How would you rate your level of sexual desire?

  1. Very low or none at all
  2. Low
  3. Moderate
  4. High
  5. Very high
Question 13/15

How satisfied have you been with your overall sex life?

  1. Very dissatisfied
  2. Moderately dissatisfied
  3. Equally satisfied & dissatisfied
  4. Moderately satisfied
  5. Very satisfied
Question 14/15

How satisfied have you been with your sexual relationship with your partner?

  1. Very dissatisfied
  2. Moderately dissatisfied
  3. Equally satisfied & dissatisfied
  4. Moderately satisfied
  5. Very satisfied
Question 15/15

How do you rate your confidence that you could get and keep an erection?

  1. Very low
  2. Low
  3. Moderate
  4. High
  5. Very high
View Result
All items are scored in 5 domains as follows:

 

DomainItemsRange Score Max Score
Erectile Function1, 2, 3, 4, 5, 15 0-530
Orgasmic Function9, 10 0-510
Sexual Desire11, 12 0-510
Intercourse Satisfaction 6, 7, 8 0-5 15
Overall Satisfaction 13, 14 0-510
Clinical Interpretation

I.Erectile function total scores can be interpreted as follows:

ScoreInterpretation
0-6Severe dysfunction
7-12Moderate dysfunction
13-18 Mild to moderate dysfunction
19-24Mild dysfunction
25-30No dysfunction

II.Orgasmic function total scores can be interpreted as follows:

ScoreInterpretation
0-2 Severe dysfunction
3-4Moderate dysfunction
5-6Mild to moderate dysfunction
7-8 Mild dysfunction
9-10No dysfunction

III.Sexual desire total scores can be interpreted as follows:

Score Interpretation
0-2Severe dysfunction
3-4Moderate dysfunction
5-6Mild to moderate dysfunction
7-8 Mild dysfunction
9-10 No dysfunction

IV.Intercourse satisfaction total scores can be interpreted as follows:

Score Interpretation
0-2Severe dysfunction
3-4Moderate dysfunction
5-6 Mild to moderate dysfunction
7-8Mild dysfunction
9-10 No dysfunction

V.Overall satisfaction total scores can be interpreted as follows:

Score Interpretation
0-2Severe dysfunction
3-4 Moderate dysfunction
5-6 Mild to moderate dysfunction
7-8 Mild dysfunction
9-10 No dysfunction

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