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. 2013 Jun 24;15(6):819–823. doi: 10.1038/aja.2013.58

Self-Esteem and Relationship (SEAR) questionnaire.

During the past 4 weeks
1. I felt relaxed about initiating sex with my partner.
2. I felt confident that during sex, my erection would last long enough.
3. I was satisfied with my sexual performance.
4. I felt that sex could be spontaneous.
5. I was likely to initiate sex.
6. I felt confident about performing sexually.
7. I was satisfied with our sex life.
8. My partner was unhappy with the quality of our sexual relations.
9. I had good self-esteem.
10. I felt like a whole man.
11. I was inclined to feel that I am a failure.
12. I felt confident.
13. My partner was satisfied with our relationship in general.
14. I was satisfied with our relationship in general.
Response options:
1=Almost never/never
2=A few times (much less than half the time)
3=Sometimes (about half the time)
4=Most times (much more than half the time)
5=Almost always/always