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Tool for Assessing Premature Ejaculation

This tool was developed by Pfizer Inc. & leading Premature Ejaculation ( PE ) experts

The Premature Ejaculation assessment that is based on your answers will be sent to you to the below e-mail address to ensure your privacy.

This tool cannot replace a proper medical assessment of your condition. If you suffer from Premature Ejaculation please contact your physician.


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*Re-enter Email :    
*Name : 
*Gender :  Male      Female
*Birth Year : 
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This is a questionnare to help identify men who may have a problem with ejaculating too soon during sexual activity. Even if you do not have difficulties, please answer all the questions.
  • Please mark .. the box that best represents your answer for each of the questions below.
  • Please mark only one box for each question.
  • Remember there are no right or wrong answers to these questions.
  • While your experiences may change from time to time what we’re interested in here is your general experience with intercourse.
Definition:
Ejaculation here refers to ejaculation (release of semen) after penetration (when your penis enters your partner)


1. How difficult is it for you to delay ejaculation?

 Not Difficult at all
 Somewhat Difficult
 Moderately Difficult
 Very Difficult
 Extremely Difficult


2. Do you ejaculate before you want to?

 Almost never or never 0%
 Less than half the time 25%
 About half the time 50%
 More than half the time 75%
 Almost always or always 100%


3. Do you ejaculate with very little stimulation?

 Almost never or never 0%
 Less than half the time 25%
 About half the time 50%
 More than half the time 75%
 Almost always or always 100%


4. Do you feel frustrated because of ejaculating before you want to?

 Not at all
 Slightly
 Moderately
 Very
  Extremely


5. How concerned are you that your time to ejaculation leaves your partner sexually unfulfilled?

 Not at all
 Slightly
 Moderately
 Very
 Extremely












 
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