Table 1.

Example of PCI questionnaire

This next section is about your SEXUAL FUNCTION AND SEXUAL SATISFACTION. Many of the questions are very personal, but they will help us understand the important issues that you face every day. Remember that your answers to this questionnaire will be kept confidential. Please answer them honestly about THE LAST 4 WEEKS ONLY.
•    How would you rate each of the following during the LAST 4 WEEKS?
(Circle one number on each line)	Very poor	Poor	Fair	Good	Very good
Your level of sexual desire?	0	1	2	3	4
Your ability to have an erection?	0	1	2	3	4
Your ability to reach orgasm (climax)?	0	1	2	3	4
•    How would you describe the usual QUALITY of your erections?
None at all				1	(Circle one number)
Not firm enough for any sexual activity				2
Firm enough for masturbation and foreplay only				3
Firm enough for intercourse				4
•    How would you describe the FREQUENCY of your erections?
I NEVER had an erection when I wanted one				1
I had an erection LESS THAN HALF the time I wanted one				2
I had an erection ABOUT HALF the time I wanted one				3
I had an erection MORE THAN HALF the time I wanted one				4
I had an erection WHENEVER I wanted one				5