SEXUAL FUNCTION TEST FOR MEN - HOW WELL DO YOU PERFORM?

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A Brief Male Sexual Function Inventory This inventory, developed at Harvard Medical School, provides you with a Confidential tool to measure your sexual performance. It also allows you to measure whether your situation has been improved by taking Jack And His Beanstalk™. Simply answer each question before and after taking 3 bottles of Jack And His Beanstalk™ and then compare the pre and post scores to see if there is any improvement. If you see some (even minor) positive change, continued daily use of Jack And His Beanstalk™ will result in ongoing improvement.

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SEXUAL DRIVE
Let's define sexual drive as a feeling that may include wanting to have a sexual experience (masturbation or intercourse), thinking about having sex, or feeling frustrated due to lack of sex.

1. During the past 30 days on how many days have you felt a sexual drive?
0 No days
1 A few days
2 Some days
3 Most days
4 Almost every day

2. During the past 30 days how would you rate your level of sexual drive?
0 None
1 Low
2 Medium
3 Medium High
4 High

ERECTIONS
3. Over the past 30 days how often have you had partial or full sexual erections when you were sexually stimulated in any way?
0 Not at all
1 A few times
2 Fairly often
3 Usually
4 Always

4. Over the past 30 days when you had erections, how often were they firm enough to have sexual intercourse?
0 1 2 3 4

5. How much difficulty did you have getting an erection during the past 30 days?
0 Did not get erections 1 A lot
2 Some
3 A little
4 No difficulty

EJACULATION
6. In the past 30 days how much difficulty have you had ejaculating when you have been sexually stimulated?
0 No sexual stimulation 1 A lot
2 Some
3 A little
4 No difficulty

7. In the past 30 days how much did you consider the amount of semen you ejaculated to be a problem for you?
0 Did not climax 1 Big problem
2 Medium problem
3 Small problem
4 No problem

PROBLEM ASSESSMENT
8. In the past 30 days to what extent have you considered a lack of sex drive to be a problem?
0 Big problem 1 Medium problem
2 Small problem
3 Very small problem
4 No problem

9. In the past 30 days to what extent have you considered your ability to get and keep erections to be a problem?
0 1 2 3 4

10. In the past 30 days, to what extent have you considered your ejaculation to be a problem?
0 1 2 3 4

OVERALL SATISFACTION
11. Overall, during the past 30 days, how satisfied have you been with your sex life?
0 Very dissatisfied
1 Mostly dissatisfied
2 Neutral or mixed
3 Mostly satisfied
4 Very satisfied

From Michael P. O'Leary, M.D., et. al., Harvard Medical School, and Division of Urology, Brigham and Women's Hospital, Urology 46: 704, 1995

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