Erectile Dysfunction Quiz

These questions ask about the effects that your erection problems have had on your sex life over the last four weeks. Please try to answer the questions as honestly and as clearly as you are able. Your answers will help your doctor to choose the most effective treatment suited to your condition. In answering the questions, the following definitions apply:

  • sexual activity includes intercourse, caressing, foreplay & masturbation
  • sexual intercourse is defined as sexual penetration of your partner
  • sexual stimulation includes situations such as foreplay, erotic pictures, etc.
  • ejaculation is the ejection of semen from the penis (or the feeling of this)

orgasm is the fulfilment or climax following sexual stimulation or intercourse

OVER THE PAST 4 WEEKS, CHECK ONE BOX ONLY

Step 1 of 3

Q1: How often were you able to get an erection during sexual activity?(Required)
Q2: When you had erections with sexual stimulation, how often were your erections hard enough for penetration?(Required)
Q3: When you attempted intercourse, how often were you able to penetrate (enter) your partner?(Required)
Q4: During sexual intercourse, how often were you able to maintain your erection after you had penetrated your partner?(Required)
Q5: During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?(Required)
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