พฤศจิกายน 15, 2024 The International Index of Erectile Function (IIEF-5) Questionnaire This survey is to help you evaluate your degree of erectile dysfunction. ** Please consider your past 6 months experience to complete the survey 1. How do you rate your confidence that you could get and keep an erection? Very low Low Moderate High Very High 2. When you had erections with sexual stimulation, how often were your erections hard enough for penetration? Almost never/never A few times (much less than half the time) Sometimes (about half the time) Most times (much more than half the time) Almost always/alway 3. During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner? Almost never/never A few times (much less than half the time) Sometimes (about half the time) Most times (much more than half the time) Almost always/alway 4. During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse? Extremely difficult Very difficult Difficult Slightly difficult Not difficult 5. When you attempted sexual intercourse, how often was it satisfactory for you? Almost never/never A few times (much less than half the time) Sometimes (about half the time) Most times (much more than half the time) Almost always/always Time is Up! Time's up
