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International Index of Erectile Function (IIEF) Questionnaire

Posted by on Oct 2, 2010 in Men's Health | 0 comments

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.

Definitions
1. Sexual intercourse
Penetration of the vagina.
2. Sexual activity
Here included are sexual 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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