1. How often are you able to get an erection during sexual activity?
1. No sexual activity
2. Almost never or never
3. A few times (much less than half the time)
4. Sometimes (about half the time)
5. Most times (much more than half the time)
6. Almost always or always

2. When you have erections with sexual stimulation, how often are your erections hard enough to penetrate (enter) your partner?
1. No sexual activity
2. Almost never or never
3. A few times (much less than half the time)
4. Sometimes (about half the time)
5. Most times (much more than half the time)
6. Almost always or always

3. When you try to have intercourse, how often are you able to penetrate (enter) your partner?
1. Did not attempt sexual intercourse
2. Almost never or never
3. A few times (much less than half the time)
4. Sometimes (about half the time)
5. Most times (much more than half the time)
6. Almost always or always

4. During sexual intercourse, how often are you able to keep your erections after you penetrate (enter) your partner?
1. Did not attempt sexual intercourse
2. Almost never or never
3. A few times (much less than half the time)
4. Sometimes (about half the time)
5. Most times (much more than half the time)
6. Almost always or always

5. During sexual intercourse, how difficult is it to keep your erection until the end of intercourse?
1. Did not attempt sexual intercourse
2. Extremely difficult
3. Very difficult
4. Difficult
5. Slightly difficult
6. Not difficult

result:

What your result means
Score 

00-10   Severe
11-15   Moderate
16-20   Mild
21-25   Normal