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    Short IIEF PDF

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    ZICO
    The document contains a 5 question questionnaire called the IIEF-5 or SHIM that is used to assess erectile dysfunction. It asks respondents to rate their confidence in getting and maintaining an erection, how often erections are hard enough for penetration, how often erections can be maintained during intercourse, difficulty maintaining erection until completion, and how often intercourse is satisfactory. Scores are totaled and correspond to severity levels of erectile dysfunction.

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    Short IIEF PDF

    Uploaded by

    ZICO
    223 views1 page
    The document contains a 5 question questionnaire called the IIEF-5 or SHIM that is used to assess erectile dysfunction. It asks respondents to rate their confidence in getting and maintaining an erection, how often erections are hard enough for penetration, how often erections can be maintained during intercourse, difficulty maintaining erection until completion, and how often intercourse is satisfactory. Scores are totaled and correspond to severity levels of erectile dysfunction.

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    Short_IIEF.pdf

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    The document contains a 5 question questionnaire called the IIEF-5 or SHIM that is used to assess erectile dysfunction. It asks respondents to rate their confidence in getting and maintaining an erection, how often erections are hard enough for penetration, how often erections can be maintained during intercourse, difficulty maintaining erection until completion, and how often intercourse is satisfactory. Scores are totaled and correspond to severity levels of erectile dysfunction.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    223 views1 page

    Short IIEF PDF

    Uploaded by

    ZICO
    The document contains a 5 question questionnaire called the IIEF-5 or SHIM that is used to assess erectile dysfunction. It asks respondents to rate their confidence in getting and maintaining an erection, how often erections are hard enough for penetration, how often erections can be maintained during intercourse, difficulty maintaining erection until completion, and how often intercourse is satisfactory. Scores are totaled and correspond to severity levels of erectile dysfunction.

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    © All Rights Reserved
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    Download as pdf or txt
    of 1

    The IIEF-5 Questionnaire (SHIM)

    Please encircle the response that best describes you for the following five questions:

    Over the past 6 months:

    1. How do you rate Very low Low Moderate High Very high
    your confidence that you
    could get and keep an 1 2 3 4 5
    erection?

    2. When you had erections Almost never A few Sometimes Most times Almost always
    with sexual stimulation, or never times or always
    how often were your
    erections hard enough (much less (about half (much more
    for penetration? than half the time) than half
    the time) the time)

    1 2 3 4 5

    3. During sexual Almost never A few Sometimes Most times Almost always
    intercourse, how often were of never times or always
    you able to maintain your
    erection after you had (much less (about half (much more
    penetrated your partner? than half the time) than half
    the time) the time)

    1 2 3 4 5

    4. During sexual Extremely Very Difficult Slightly Not difficult


    intercourse, how difficult difficult difficult difficult
    was it to maintain your
    erection to completion of
    intercourse?

    1 2 3 4 5

    5. When you attempted Almost never A few Sometimes Most times Almost always
    sexual intercourse, how or never times or always
    often was it satisfactory
    for you? (much less (about half (much more
    than half the time) than half
    the time) the time)

    1 2 3 4 5

    Total Score: ___________________

    1-7: Severe ED 8-11: Moderate ED 12-16: Mild-moderate ED 17-21: Mild ED 22-25: No ED

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