Appendix I.

Arabic Index of Premature Ejaculation

Patient’s name:	Patient’s name:
Please respond to each question by circling ONLY ONE statement that best describes your condition.
Q1. How do you rate your sexual desire?
a) Very low b) Low c) Average d) High e) Very high
Q2. How often do you have hard erections, with sexual stimulation, sufficient to complete sexual intercourse?
a) almost never b) rarely c) sometimes d) often e) most of the time
Q3. How much time does it take from intromission to ejaculation (using a stop-watch)?
a) <30 seconds b) Around 1 minute c) 1–2 minutes d) 2–3 minutes e) >30 seconds
Q4. How difficult is it for you to prolong your ejaculation time?
a) most of the time b) often c) sometimes d) rarely e) almost never
Q5. How often was sexual intercourse satisfactory for you?
a) almost never b) rarely c) sometimes d) often e) most of the time
Q6. How often was sexual intercourse satisfactory for your partner?
a) almost never b) rarely c) sometimes d) often e) most of the time
Q7. During sexual intercourse, do you feel anxious, depressed or stressed?
a) most of the time b) often c) sometimes d) rarely e) almost never
Date of assessment:	Doctor’s initials: