Free erectile dysfunction assessment

Based on the IIEF-5 survey, find out if a doctor would consider you to have erectile dysfunction

Not sure if it is real? Try the full IIEF Questionnaire

This questionnaire evaluates the influence of your erectile problems on your sexual life over the past 4 weeks. Please answer the questions as honest and as clear as possible. Choose one answer per question. In case of doubt, chose the best possible answer.

Score Interpretation

0-6 Severe dysfunction

7-12 Moderate dysfunction

13-18 Mild to moderate dysfunction

19-24 Mild dysfunction

25-30 Unlikely to have dysfunction

Definitions

1. Sexual intercourse = Penetration of the vagina.

2. Sexual activity = Includes intercourse, carressing, kissing, foreplay and masturbation.

3. Ejaculation = An actual ejaculation, or the feeling of having one.

4. Sexual stimulation = The erotic play with the partner, watching erotic images, etc…

1. Over the past 4 weeks, how often were you able to have an erection during sexual activity?

no sexual activity

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

 

2. Over the past 4 weeks, when you had erections with sexual stimulation, how often were

your erections hard enough for penetration?

no sexual activity

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

3. Over the past 4 weeks, when you attempted sexual intercourse, how often were you able to penetrate (enter) your partner?

did not attempt intercourse

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

4. Over the past 4 weeks, during sexual intercourse, how often were you able to maintain

your erection after you had penetrated (entered) your partner?

did not attempt intercourse

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

5. Over the past 4 weeks, during sexual intercourse, how difficult was it to maintain your erection to complete intercourse?

did not attempt intercourse

extremely difficult

very difficult

difficult

slightly difficult

not difficult

6. Over the past 4 weeks, how many times did you attempt sexual intercourse?

no attempts

one to two attempts

three to four attempts

five to six attempts

seven to ten attempts

more than eleven attempts

7. Over the past 4 weeks, when you attempted sexual intercourse, how often was it satisfactory for you?

did not attempt intercourse

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

8. Over the past 4 weeks, how much did you enjoy sexual intercourse?

no intercourse

no enjoyment

not very enjoyable

fairly enjoyable

highly enjoyable

very highly enjoyable

9. Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you ejaculate?

did not attempt intercourse

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

10. Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you have the feeling of orgasm or climax?

did not attempt intercourse

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

11. Over the past 4 weeks, how often did you feel sexual desire?

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

12. Over the past 4 weeks, how would you rate your level of sexual desire?

very low/ none at all

low

moderate

high

very high

13. Over the past 4 weeks, how satisfied were you with your overall sex life?

very dissatisfied

moderately dissatisfied

about equally satisfied and dissatisfied

moderately satisfied

very satisfied

14. Over the past 4 weeks, how satisfied were you with the sexual relationship with your partner?

very dissatisfied

moderately dissatisfied

about equally satisfied and dissatisfied

moderately satisfied

very satisfied

15. Over the past 4 weeks, how do you rate your confidence that you could have and keep an erection?

very low

low

moderate

high

very high

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