Your Erection Quality Score: A 5-Question Self-Assessment

In clinical trials, research studies, and urology offices around the world, doctors assess erectile dysfunction using a simple, validated questionnaire called the IIEF-5 (International Index of Erectile Function, 5-item version). It takes about 60 seconds and gives a reliable snapshot of your erectile health.

You can take the same assessment right now.

The IIEF-5 Assessment

For each question below, rate your experience over the past 6 months on a scale of 1 (very low / almost never) to 5 (very high / almost always). If you have not attempted sexual activity, estimate based on your confidence and recent experiences.

Question 1: How confident are you that you can get and keep an erection? (1 = Very low, 5 = Very high)

Question 2: When you have erections with sexual stimulation, how often are they firm enough for penetration? (1 = Almost never, 5 = Almost always)

Question 3: During sexual intercourse, how often are you able to maintain your erection after penetration? (1 = Almost never, 5 = Almost always)

Question 4: During sexual intercourse, how difficult is it to maintain your erection to completion? (1 = Extremely difficult, 5 = Not difficult)

Question 5: When you attempt sexual intercourse, how often is it satisfactory for you? (1 = Almost never, 5 = Almost always)

Understanding Your Score

Add your five answers together for a total between 5 and 25.

A score of 21 or below is generally considered indicative of some degree of erectile dysfunction. But remember: this is a screening tool, not a diagnosis. A healthcare provider can help determine the cause and recommend appropriate treatment.

The Bottom Line

The IIEF-5 is the same tool used in every major ED clinical trial. It's simple, validated, and gives you an honest picture of where you stand. If your score suggests ED, the next step is a conversation with a doctor — and thanks to telehealth, that conversation can happen from your couch.