Table 2  The IIEF-5 questionnaire^a

Over the past six months:

1. How do you rate your confidence that you could get and keep an erection?

   Very low	1
   Low	2
   Moderate	3
   High	4
   Very high	5

2. When you had erections with sexual stimulation, how often were your erections hard enough for penetration?

   Almost never / never	1
   A few times (much less than half the time)	2
   Sometimes (about half the time)	3
   Most times (much more than half the time)	4
   Almost always / always	5

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

   Almost never / never	1
   A few times (much less than half the time)	2
   Sometimes (about half the time)	3
   Most times (much more than half the time)	4
   Almost always / always	5

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

   Extremely difficult	1
   Very difficult	2
   Difficult	3
   Slightly difficult	4
   Not difficult	5

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

   Almost never / never	1
   A few times (much less than half the time)	2
   Sometimes (about half the time)	3
   Most times (much more than half the time)	4
   Almost always / always	5

^aThe IIEF-5 score is the sum of the ordinal responses to the five items; thus, the score can range from 5 to 25.

ED severity:

• severe (5-7),
• moderate (8-11),
• mild to moderate (12-16),
• mild (17-21), and
• no ED (22-25).

Appendix B. Final PE Diagnostic Tool

Tool for Assessing Premature Ejaculation

This is a questionnaire to help identify men who may have a problem with ejaculating too soon during sexual activity. Even if you do not have difficulties, please answer all the questions.

• Please mark the box that best represents your answer for each of the questions below.
• Please mark only one box for each question.
• Remember there are no right or wrong answers to these questions.
• While your experiences may change from time to time, what we're interested in here is your general experience with intercourse.

Definition:
Ejaculation here refers to ejaculation (release of semen) after penetration (when your penis enters your partner)

1. How difficult is it for you to delay ejaculation?

   Not difficult at all	0
   Somewhat difficult	1
   Moderately difficult	2
   Very difficult	3
   Extremely difficult	4

2. Do you ejaculate before you want to?

   Almost never or never 0%	0
   Less than half the time 25%	1
   About half the time 50%	2
   More than half the time 75%	3
   Almost always or always 100%	4

3. Do you ejaculate with very little stimulation?

   Almost never or never 0%	0
   Less than half the time 25%	1
   About half the time 50%	2
   More than half the time 75%	3
   Almost always or always 100%	4

4. Do you feel frustrated because of ejaculating before you want to?

   Not at all	0
   Slightly	1
   Moderately	2
   Very	3
   Extremely	4

5. How concerned are you that your time to ejaculation leaves your partner sexually unfulfilled?

   Not at all	0
   Slightly	1
   Moderately	2
   Very	3
   Extremely	4

Pfizer Ltd ©: 27 July 2005

Score:

• ≤8 "no PE,"
• 9 and 10 "probable PE," and
• ≥11 "PE."

Table 1. Questions Used as Part of the Saint Louis University ADAM Questionnaire

1. Do you have a decrease in libido (sex drive)?
   Yes | No
2. Do you have a lack of energy?
   Yes | No
3. Do you have a decrease in strength and/or endurance?
   Yes | No
4. Have you lost height?
   Yes | No
5. Have you noticed a decreased "enjoyment of life"?
   Yes | No
6. Are you sad and/or grumpy?
   Yes | No
7. Are your erections less strong?
   Yes | No
8. Have you noted a recent deterioration in your ability to play sports?
   Yes | No
9. Are you falling asleep after dinner?
   Yes | No
10. Has there been a recent deterioration in your work performance?
    Yes | No

NOTE. A positive questionnaire result is defined as a "yes" answer to questions 1 or 7 or any 3 other questions.