Erectile Function Assessment Tool

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

Very Low
Low
Moderate
High
Very High

2. When you had erections with sexual stimulation, how often were your erections hard enough for penetration?

Almost never or never
A few times (less than half the time)
Sometimes (about half the time)
Most times (more than half the time)
Almost always or always
I did not attempt sexual intercourse

3. During sexual intercourse, how often were you able to maintain your erection after you had penetrated?

Almost never or never
A few times
Sometimes
Most times
Almost always or always
I did not attempt sexual intercourse

4. During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?

Extremely difficult
Very difficult
Difficult
Slightly difficult
Not difficult
I did not attempt sexual intercourse

5. When you attempted sexual intercourse, how often was it satisfactory for you?