Sexual health is an important part of an individual’s overall physical and emotional well-being. Erectile dysfunction, also known as impotence, is one type of very common medical condition affecting sexual health. Fortunately, there are many different treatment options for erectile dysfunction. This questionnaire is designed to help you and your doctor identify if you may be experiencing erectile dysfunction. If you are, you may choose to discuss treatment options with your doctor. Each question has several possible responses. Circle the number of the response that best describes your own situation. Please be sure that you select one and response for each question.
Over The Past 6 Months:
How do you rate your confidence that you could get and keep an erection?
When you had erections with sexual stimulation, how often were your erections hard enough for penetration (entering your parnter)?
During sexual intercourse, how ofter were you able to maintain your erection after you had pentrated (entered) your partner?
During sexual intercourse, how difficult wast it to maintain your erection to completion of intercourse?
When you attempted sexual intercourse, how ofen was it satifactory for you?