Female Sexual Function Index – FSFI

Q: How many questions does the Female Sexual Function Index – FSFI have?

The Female Sexual Function Index – FSFI contains 19 items and takes approximately 5 minutes to complete.

Q: How is the Female Sexual Function Index – FSFI scored?

Scores range from 2 to 36. Interpretation levels: Risk of Sexual Dysfunction (2-26), Normal Sexual Function (27-36).

Q: Is the Female Sexual Function Index – FSFI free?

Yes, this assessment is completely free. You will receive your results immediately after completion, with an optional AI-powered personalized interpretation.

Mohammed looti

Female Sexual Function Index – FSFI

A multidimensional self-report instrument assessing key dimensions of female sexual function over the past 4 weeks.

19 Questions

~5 min

Custom

Scale Development & Technical Details

Scale Overview

The Female Sexual Function Index – FSFI was developed by Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., Ferguson, D., D’Agostino, Jr. R. (2000). It is designed to measure Female sexual function. The scale is intended for use with Adult women.

Scale Structure

This instrument consists of 19 items organized into 6 factors/subscales: Desire, Arousal, Lubrication, Orgasm, Satisfaction, Pain.

Factor / Subscale	Items	N
Desire	1,2	2
Arousal	3,4,5,6	4
Lubrication	7,8,9,10	4
Orgasm	11,12,13	3
Satisfaction	14,15,16	3
Pain	17,18,19	3

Response Format

Respondents rate each item using a custom response format.

Response anchors: 0 = No sexual activity / Did not attempt intercourse, 1 = Almost never or never / Very low or none at all / Extremely difficult / Very dissatisfied / Almost always (pain), 2 = A few times / Low / Very difficult / Moderately dissatisfied / Most times (pain), 3 = Sometimes / Moderate / Difficult / About equally satisfied and dissatisfied / Sometimes (pain), 4 = Most times / High / Slightly difficult / Moderately satisfied / A few times (pain), 5 = Almost always or always / Very high / Not difficult / Very satisfied / Almost never (pain).

Scoring

Items are scored by subscale, with each subscale sum representing a distinct dimension.

Total scores range from 2 to 36. Interpretation guidelines:

Risk of Sexual Dysfunction: 2 – 26
Normal Sexual Function: 27 – 36

Psychometric Properties

Internal Consistency: The scale has demonstrated good to excellent internal consistency with reported Cronbach’s alpha values of Cronbach's alpha >= 0.82 for all subscales.

Administration

The scale is self-administered and typically takes approximately 5 minutes to complete. It can be administered individually or in group settings. No special training is required for administration.

0 / 19

About You

Please provide the following information before starting the assessment. This data is used for research purposes only and will remain confidential.

Gender *

Age *

Education Level

Country / Nationality

Instructions

These questions ask about your sexual feelings and responses during the past 4 weeks. Please answer the following questions as honestly and clearly as possible. Sexual activity can include caressing, foreplay, masturbation and vaginal intercourse. Sexual intercourse is defined as penile penetration (entry) of the vagina. Sexual stimulation includes situations like foreplay with a partner, self-stimulation (masturbation), or sexual fantasy. Check only one box per question.

0 No sexual activity / Did not attempt intercourse

1 Almost never or never / Very low or none at all / Extremely difficult / Very dissatisfied / Almost always (pain)

2 A few times / Low / Very difficult / Moderately dissatisfied / Most times (pain)

3 Sometimes / Moderate / Difficult / About equally satisfied and dissatisfied / Sometimes (pain)

4 Most times / High / Slightly difficult / Moderately satisfied / A few times (pain)

5 Almost always or always / Very high / Not difficult / Very satisfied / Almost never (pain)

Over the past 4 weeks, how often did you feel sexual desire or interest?

No sexual activity / Did not attempt intercourse Almost never or never / Very low or none at all / Extremely difficult / Very dissatisfied / Almost always (pain) A few times / Low / Very difficult / Moderately dissatisfied / Most times (pain) Sometimes / Moderate / Difficult / About equally satisfied and dissatisfied / Sometimes (pain) Most times / High / Slightly difficult / Moderately satisfied / A few times (pain) Almost always or always / Very high / Not difficult / Very satisfied / Almost never (pain)

Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest?

Over the past 4 weeks, how often did you feel sexually aroused ('turned on') during sexual activity or intercourse?

Over the past 4 weeks, how would you rate your level of sexual arousal ('turn on') during sexual activity or intercourse?

Over the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity or intercourse?

Over the past 4 weeks, how often have you been satisfied with your arousal (excitement) during sexual activity or intercourse?

Over the past 4 weeks, how often did you become lubricated ('wet') during sexual activity or intercourse?

Over the past 4 weeks, how difficult was it to become lubricated ('wet') during sexual activity or intercourse?

Over the past 4 weeks, how often did you maintain your lubrication ('wetness') until completion of sexual activity or intercourse?

Over the past 4 weeks, how difficult was it to maintain your lubrication ('wetness') until completion of sexual activity or intercourse?

Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you reach orgasm (climax)?

Over the past 4 weeks, when you had sexual stimulation or intercourse, how difficult was it for you to reach orgasm (climax)?

Over the past 4 weeks, how satisfied were you with your ability to reach orgasm (climax) during sexual activity or intercourse?

Over the past 4 weeks, how satisfied have you been with the amount of emotional closeness during sexual activity between you and your partner?

Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner?

Over the past 4 weeks, how satisfied have you been with your overall sexual life?

Over the past 4 weeks, how often did you experience discomfort or pain during vaginal penetration?

Over the past 4 weeks, how often did you experience discomfort or pain following vaginal penetration?

Over the past 4 weeks, how would you rate your level (degree) of discomfort or pain during or following vaginal penetration?

Answer all questions to submit

Your Results

Female Sexual Function Index – FSFI