spanish

portuguese

QUESTIONNAIRE ABOUT SEXUAL HEALTH FOR MEN

Sexual health is an important factor for the general physical and emotional well-being of men. The erectile dysfunction is a type of sexual complaint frequently referred to. There are many options for its treatment. This questionnaire was designed to identify such problem.
Each one of the questions has several answers, from which the one that best identifies the situation must be chosen. Only one answer must be selected.

In the last six months:

1.How do you classify your degree of confidence in obtaining  and keeping the erection?
Very low 
Low 
Moderate
High 
Very high
2.When you had erections by sex stimulation, how many times was erection firmly enough for penetration?
Did not have sexual activity
Almost never / Never
Few  occasions (much less than half of the occasions)
Some occasions (almost half of the occasions)
Many occasions (much more that half of the occasions)
Almost always/Always  
3.During sexual intercourse how many times did you get to keep erection up to the end of sexual activity?
Did not have sexual intercourse
Almost never/ Never   
Few occasions (much less than half of the occasions)
Some occasions (almost half of the occasions)
Many occasions (much more than half of the occasions)
Almost always/Always  
4.During sexual intercourse was it difficult to keep erection up to the end of sexual activity?
Did not have sexual intercourse
Extremely  difficult
Very difficult
Difficult
Slightly difficult
Not difficult
5.When you tried to have sexual intercourse how many times did you get satisfaction?
Did not have sexual intercourse
Almost never/Never
Few occasions (much less than half of the occasions)
Some occasions (almost half of the occasions)
Many occasions (much more than half of the occasions)
Almost always/Always
 

SCORE:  

  If score is equal or less than 21, there are signs of erectile dysfunction