International Index of Erectile Function - 6 (IIEF-6)

A 6-item questionnaire focusing on erectile function, extracted from the full IIEF. Assesses erection frequency, firmness, maintenance, and satisfaction over the past 4 weeks.

Instructions:

Please answer the following questions about your sexual function over the past 4 weeks. Be honest and choose the answer that best describes your experience. All questions refer to your experiences during the past 4 weeks.

Erectile Function

Q1. Over the past 4 weeks, how often were you able to get an erection during sexual activity?

No sexual activity

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

Q2. Over the past 4 weeks, when you had erections during sexual stimulation, how often were your erections hard enough for penetration?

No sexual activity

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

Q3. Over the past 4 weeks, when you attempted sexual intercourse, how often were you able to penetrate (enter) your partner?

Did not attempt intercourse

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

Q4. Over the past 4 weeks, during sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?

Did not attempt intercourse

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

Q5. Over the past 4 weeks, during sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?

Did not attempt intercourse

Extremely difficult

Very difficult

Difficult

Slightly difficult

Not difficult

Q15. Over the past 4 weeks, how satisfied have you been with your overall sex life?

No sexual activity

Very dissatisfied

Moderately dissatisfied

About equally satisfied and dissatisfied

Moderately satisfied

Very satisfied

Patient Watch Form - 4/2/2026