1.
Over the past month, how often have you been able to maintain an erection when sexually aroused (either on your own or with a partner)?
1 out of 10
2.
Over the past month, how many days have you experienced a sexual impulse?
2 out of 10
3.
Over the past month, to what extent have you struggled to ejaculate after becoming aroused?
3 out of 10
4.
Over the past month, how concerned have you been about ejaculation, or your ability to ejaculate?
4 out of 10
5.
Over the past month, to what extent would you consider the absence of sexual impulses to be a cause for concern?
5 out of 10
6.
Over the past month, how concerned have you been about being able to get and maintain an erection?
6 out of 10
7.
Over the past month, how would you rate the strength of your sexual impulses?
7 out of 10
8.
Over the past month, how often have you had an erection that was firm enough to have sexual intercourse (regardless of whether you actually engaged in intercourse)?
8 out of 10
9.
Over the past month, to what extent did you find it difficult to get and maintain an erection?
9 out of 10
10.
Over the past month, to what extent were you concerned about the amount of semen you produced on ejaculation?
10 out of 10