Novavida ED Questionnaries

 

This questionnaire can help you and your doctor determine if you have symptoms of ED (erectile dysfunction).

For each question, note your answer by circling the number that approximates your belief.

Name
Age
Email
Phone
How do you rate your confidence that you could get and keep an erection?

When you had erections with sexual stimulation, how often were your erections hard enough for penetration (entering your partner)?

During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?

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

When you attempted sexual intercourse, how often was it satisfactory for you?

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