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Patient Questionnaire

Patient Questionnaire

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Sexual activity includes intercourse caressing foreplay & masturbation.
Sexual Intercourse is defined as sexual penetration of your partner.
Sexual Stimulation includes situation such as foreplay, erotic pictures etc.
Ejaculation is the ejection of semen from the penis (or the feeling of this).
Orgasm is the fulfilment or climax following sexual stimulation or intercourse.

Personal Info

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