Erectile function questionnaire
The IIEF-5 (International Index of Erectile Function-5) is an international questionnaire for identifying erectile dysfunction. Please fill in this questionnaire before seeing your doctor.
Select the answer that best describes your condition over the past six months. Write the score into the box.
Source: Rosen RC, et al. Urology 2006.
22 – 25 = Normal erectile function (no ED)
17 – 21 = Mild ED
12 – 16 = Mild to moderate ED
8 – 11 = Moderate ED
1 – 7 = Severe ED (5 – 7, if a man had no opportunity to engage in sexual activity)
If your score is lower than 21, it is recommended that you talk to your doctor.