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MHS ED Self Test

MHS ED Self Test

ED Questionaire

Step 1 of 6

16%

Enter your name and email before we start the test. The test consists of five questions.

Please select the answer that mostly closely applies to you in the last 6 months.
First Name*
First
Last Name*
Last
Email*
This simple erectile dysfunction questionnaire (International Index of Erectile Function Test (IIEF-5) used globally in clinical researches of erectile dysfunction and is used to help diagnostic of severity of ED.
Only you will see the results of the online test for ED. We don’t store your answer and results.
If your indicative diagnosis proves positive for erectile dysfunction then, most probably, low-intensity shockwave therapy can help you.

How do you rate your confidence that you could get and keep an erection?*
- Very Low
- Low
- Moderate
- High
- Very High

When you had erections with sexual stimulation, how often were your erections hard enough for penetration?*
- Almost Never / Never
- A Few Times (much less than half the time)
- Sometimes (about half the time)
- Most times (much more than half the time)
- Almost Always /Always

During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?*
- Almost Never / Never
- A Few Times (much less than half the time)
- Sometimes (about half the time)
- Most times (much more than half the time)
- Almost Always /Always

During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?*
- Extremely difficult
- Very difficult
- Difficult
- Slightly difficult
- Not difficult

When you attempted sexual intercourse, how often was it satisfactory for you?*
- Almost Never / Never
- A Few Times (much less than half the time)
- Sometimes (about half the time)
- Most times (much more than half the time)
- Almost Always /Always

Find Us

98 Churchtown Road Lower

Churchtown Lower

Dublin 14

D14T8P5

Contact

Email: info@mhsshockwavetherapy.ie

Phone: 01 296 0603

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Home
Shockwave Therapy
Do I Have ED?
Services
Research
Blog
FAQ’s
Contact