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

Almost never/never
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?

Almost never/never
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?

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. During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?

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 completion of intercourse?

Extremely difficult
Very difficult
Difficult
Slightly difficult
Not difficult

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

Very low
Low
Moderate
High
Very High

Finish