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The International Index of Erectile Function (IIEF-5) Questionnaire

Please encircle the response that best describes you for the following five questions:
 
Over the past 6 months:

  1. How do you rate your confidence that you could get and keep an erection?
    1 - Very low
    2 - Low
    3 - Moderate
    4 - High
    5 - Very high
     
  2. When you had erections with sexual stimulation, how often were your erections hard enough for penetration?
    1 - Almost never or never
    2 - A few times (much less than half the time)
    3 - Sometimes (about half the time)
    4 - Most times (much more than half the time)
    5 - Almost always or always
     
  3. During sexual intercourse, how often were you able to maintain your erection after you had penetrated your partner?
    1 - Almost never or never
    2 - A few times (much less than half the time)
    3 - Sometimes (about half the time)
    4 - Most times (much more than half the time)
    5 - Almost always or always
     
  4. During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?
    1 - Extremely difficult
    2 - Very difficult
    3 - Difficult
    4 - Slightly difficult
    5 - Not difficult
     
  5. When you attempted sexual intercourse, how often was it satisfactory for you?
    1 - Almost never or never
    2 - A few times (much less than half the time)
    3 - Sometimes (about half the time)
    4 - Most times(much more than half the time)
    5 - Almost always or always

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