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Q.1
During Sex, How Difficult is it to maintain an erection?
*
Very Difficult
Somewhat Difficult
Not Difficult at all
Q.2
When you had an erection with stimulation, HOW OFTEN were your erections hard enough for penatration?
*
Very Often
Somewhat Often
Not Often
Q.3
When you attempted sexual intercourse, HOW OFTEN was it satisfactory for you?
*
Almost Never
Sometimes
Almost Always
Q.4
During Sex, HOW OFTEN were you able to maintain your erection following penatration?
*
Almost Never
Sometimes
Almost Always
Q.5
During Masturbation, HOW DIFFICULT is it to maintain your erection until ejaculation?
Not Often
Somewhat Often
Very Often
Q.6
How Would You Rate Your Confidence During Sex?
*
Not Confident At All
Somewhat Confident
Very Confident
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