KLĪNIKA LUC - MIEF-5 questionnaire

Questionnaire IIEF-5 (International Index of Erectile Function)

To calculate the severity of your symptoms, answer each of the following questions by ticking the one that best describes your condition

After answering all 5 questions, click "Calculate". Check out the common symptom assessment and read the comments below.

Self-assessment

Health questionnaire

1. How often have you recently had an erection during sexual activity?
0. Almost never or never
1. Rarely (less than half the time)
2. Sometimes (about half the time)
3. About half the time
4. Common (more than half of the cases)
5. Almost always

2. How often have you recently had an erection that was sufficient to insert the penis (to start intercourse)?
0. Almost never or never
1. Rarely (less than half the time)
2. Sometimes (about half the time)
3. About half the time
4. Common (more than half of the cases)
5. Almost always

3. How often have you been able to insert the penis (initiate intercourse) while trying to have intercourse?
0. Almost never or never
1. Rarely (less than half the time)
2. Sometimes (about half the time)
3. About half the time
4. Common (more than half of the cases)
5. Almost always

4. How often have you been able to maintain an erection after intercourse lately?
0. Almost never or never
1. Rarely (less than half the time)
2. Sometimes (about half the time)
3. About half the time
4. Common (more than half of the cases)
5. Almost always

5. How often have you recently been able to maintain an erection until the end of intercourse?
0. Almost never or never
1. Rarely (less than half the time)
2. Sometimes (about half the time)
3. About half the time
4. Common (more than half of the cases)
5. Almost always

Clinic partners

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IIEF-5 questionnaire

Questionnaire IIEF-5 (International Index of Erectile Function)

Health questionnaire

Clinic partners