Online PE Questionnaire For Men
If you think you may have premature ejaculation (PE), fill in this short questionnaire. It’ll help you decide whether to see a doctor for a diagnosis and effective treatment. If you like, print this out and bring it with you to your appointment.
- Please select the answer that best represents your answer for each of the 5 questions.
- You can only select 1 answer per question.
- Remember there are no right or wrong answers to these questions.
- While your experiences may change from time to time, please refer to your general experience with intercourse.
Definition: Ejaculation here refers to ejaculation (release of semen) after penetration (when your penis enters your partner)
Learn About the Impact of PE
Premature ejaculation impacts the man, his relationship and his partner
Talking To Your Doctor
One of the most important steps towards getting an effective treatment. Find out tips on talking to your doctor about PE.
