Over the Past 6 Months

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

2. When you had erections with sexual stimulation, how often were your erections hard enough for penetration (entering your partner)?

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

4. During sexual intercourse, how difficult was it to maintain your erection after you had penetrated (entered) your partner?

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

SCORE_

Add the numbers corresponding to questions 1-5. If your score is 21 or less, you may want to speak with your doctor.

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