Think Back to the last six months...

Think about all the times you've attempted to be intimate with you partner. Answer these questions truthfully.

1. How do you rate your confidence that you can get and keep an erection? 
     

                         1. Very low       2. Low     3. Moderate     4. High     5. Very high

2.  When you had erections with sexual stimulation, how often were your erections hard enough to enter your partner?

     0 - No sexual activity  1 - Almost never or never 

 2 - A few times (much less than half the time)  3 - Sometimes (about half the time)   

. 4 - Most times (much more than half the time)   5 - Almost always or always

 

3. During sexual intercourse, how often were you able to maintain your erection after you had entered your partner?

                    0 - Did not attempt intercourse 1 - Almost never or never 

2 - A few times (much less than half the time) 3 - Sometimes (about half the time)

4 - Most times (much more than half the time) 5 - Almost always or always

 

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

 0 - Did not attempt intercourse   1 - Extremely difficult  2 - Very difficult

3 - Slightly difficult   4 - Not difficult

5. When you attempt sexual intercourse, how often was it satisfactory for you?

0 - Did not attempt intercourse 1 - Almost never or never

2 - A few times (much less than half the time)  3 - Sometimes (about half the time)

4 - Most times (much more than half the time) 5 - Almost always or always

Add your points together!

Your total number indicates your level of erectile dysfunction.

  • 1-7: Severe ED

  • 8-11: Moderate ED

  • 12-16: Mild to Moderate ED

  • 17-21: Moderate ED

  • 21-25: No ED

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