Over the past month, was your control over ejaculation during sexual intercourse:
□ Very poor	□ Poor	□ Fair	□ Good	□ Very good
Over the past month, was your satisfaction with sexual intercourse:
□ Very poor	□ Poor	□ Fair	□ Good	□ Very good
Over the past month, how distressed were you by how fast you ejaculated during sexual intercourse?
□ Not at all	□ A little	□ Moderately	□ Quite a bit	□ Extremely
Over the past month, to what extent did how fast you ejaculated during sexual intercourse cause difficulty in your relationship with your partner?
□ Not at all	□ A little	□ Moderately	□ Quite a bit	□ Extremely