INSTITUTE FOR ALGORITHMIC MEDICINE

The 5-Item Version of the International Index of Erectile Dysfunction (IIEF-5)

Purpose: To assess a male patient's erectile dysfunction using the IIEF-5 questionnaire. an abbreviated version of the IIED.

Please choose the appropriate column for each question about your sexual abilities over the past 4 weeks.

How do you rate your confidence that you could get an keep an erection? very low low moderate high very high When you had erections with sexual stimulation, how often were your erections hard enough for penetration? never or almost never a few times sometimes most times almost always or always During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner? never or almost never a few times sometimes most times almost always or always During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse? extremely difficult very difficult difficult slightly difficult not difficult When you attempted sexual intercourse, how often was it satisfactory for you? never or almost never a few times sometimes most times almost always or always