1. Over the last month, how often were you able to get an erection during sexual activity?
2. In the past, when you had sexual stimulation, how often were your erections hard enough for penetration?
3.Over the last month, when you attempted intercourse,how often were you able to penetrate your partner?
4.Over the last month, during sex- ual intercourse, how often were you able to maintain your erection after you had pentrated your partner?
5. Over the last month, during sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?
6 In the past month, how many times did you try to have sexual intercourse?
7 Last month, when you tried to have sex, it was a satisfying experience for you.
8. Over the last month, how much have you enjoyed sexual inter course?
9. Over the last month, when you had sexual stimulation or inter course, how often did you ejaculate?
10. Over the last month, when you had sexual stimulation or inter course, how often did you have the feeling of orgasm (with or without ejaculation)?
11. Over the last month, how often have you felt sexual desire?
12. Over the last month, how would you rate your level of sexual desire?
13. Over the last month, how satisfied have you been with your overall sex life?
14. Over the last month, how satis fied have you been with your sexual relationship with your partner?
15. Over the last month, how do you rate your confidence that you can get and keep your erection?
