How would you describe the quality of your erections during sexual activity in the past 2 weeks?
Have you been sexually active during the last 2 weeks (For example masturbation or intercourse)?
How often during the last week in the evening or at night did you have a spontaneous erection (Partly or fully, not during sexual activity)?
What was your level of sexual desire (sexual thoughts or feelings) during the past week?
How big a problem, if any, has each of the following been for you? (Circle one number on each line)
During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
Instruction: The following questions are about your views regarding your health. In this manner we are able to record how you feel and how well you are able to do your usual activities. Please answer each question by checking the box in the indicated manner. If you are not sure how to answer a...
The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much?
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health?
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?