Caverta : ED Self Check

Caverta - A new beginning for ED patients

This self-test is designed to help you identify if you may be experiencing erectile dysfunction.

Each question has various possible responses.Check the response that best describes your own situation. In order to get the best results from this questionnaire, it is essential that you answer the questions as honestly as possible.

The results of this questionnaire will not be shared with any one.

The health information contained herein is provided for educational purposes only and is not intended to replace the discussions with a doctor. All medical decisions regarding patient care must be made by a doctor only.

How confident are you that you can get and maintain an erection?

Very low
Low
Moderate
High
Very high

When you had an erection, after sexual stimulation, how often was it hard
enough to penetrate or enter your partner?

Did not attempt intercourse
Never or almost never
Few times (more than half)
Occasionally (half the time)
Most of the time (more than half)
Always or almost always

During intercourse, do you maintain an erection after entering your partner?

Did not attempt intercourse
Never or almost never
Few times (more than half)
Occasionally (half the time)
Most of the time (more than half)
Always or almost always

How difficult is it for you to maintain the erection to satisfactory completion
of intercourse?

Did not attempt intercourse
Never or almost never
Few times (more than half)
Occasionally (half the time)
Most of the time (more than half)
A lways or almost always

When you attempt intercourse, how often has it been a satisfactory
experience for you?

Did not attempt intercourse
Never or almost never
Few times (more than half)
Occasionally (half the time)
Most of the time (more than half)
Always or almost always

Adapted from International Institute of Erectile Function (IIEF)