Choose one answer per question.
Confidence in obtaining an erection?
Select an answer
None
Very little
Little
Moderate
High
Very high
Is your erection hard enough?
Select an answer
Never
Hardly ever
Rarely
Sometimes
Frequently
Always
Could you keep it during intercourse?
Select an answer
Never
Hardly ever
Rarely
Sometimes
Frequently
Always
Could you keep it until the end?
Select an answer
Never
Hardly ever
Rarely
Sometimes
Frequently
Always
Did both of you reach an orgasm?
Select an answer
Never
Hardly ever
Rarely
Sometimes
Frequently
Always