Self-Assessment Questionnaire
This self-assessment questionnaire aims to assist individuals in evaluating their symptoms
related to male sexual dysfunction. It is not a substitute for professional medical advice.
Always consult with a healthcare provider for accurate diagnosis and personalized treatment
recommendations.
Scoring Instructions:
Add up the points based on your responses:
- Each “Always” response counts as 3 points.
- Each “Frequently” response counts as 2 points.
- Each “Occasionally” response counts as 1 point.
- Each “Never” response counts as 0 points.
What is your score?
- 0-5 Points: Mild symptoms; consider monitoring or discussing with a healthcare provider.
- 6-10 Points: Moderate symptoms; consultation with a healthcare provider recommended.
- 11 or more Points: Severe symptoms; prompt medical evaluation advised.
- If you have scored 6 or more points or have concerns about your sexual health, it is recommended to seek medical advice. You can schedule a free counselling with Ankur Urja team member, who can provide insights into the next steps.
