Men’s Health – Follow Up Questions

Men’s Health – Follow Up Questions2019-03-20T10:30:17-07:00
  • Date Format: DD slash MM slash YYYY
  • EHS Score (Erection Hardness Score - Please respond to describe your ED when you are NOT using pills, injections or supplements (Viagra, Cialis, Levitra) OVER THE LAST FOUR WEEKS.

  • Penis does not enlargePenis is larger, but not hardPenis is hard, but not hard enough for penetrationPenis is hard enough for penetration, but not completely hardPenis is completely hard and fully rigid
  • IIEF QUESTIONNAIRE - Please respond to describe your ED when you are NOT using pills, injections or supplements (Viagra, Cialis, Levitra) OVER THE LAST 4 WEEKS.

  • No sexual activityAlmost never or neverA few times (less than half the time)Sometimes (about half the time)Most times (more than half the time)Almost always or always
  • No sexual activityAlmost never or neverA few times (less than half the time)Sometimes (about half the time)Most times (more than half the time)Almost always or always
  • Did not attempt intercourseAlmost never or neverA few times (less than half the time)Sometimes (about half the time)Most times (more than half the time)Almost always or always
  • Did not attempt intercourseAlmost never or neverA few times (less than half the time)Sometimes (about half the time)Most times (more than half the time)Almost always or always
  • Did not attempt intercourseExtremely difficultVery difficultDifficultSlightly difficultNot difficult
  • Very lowLowModerateHighVery high
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