Female Sexual Function Index (FSFI)

Instructions:

Please answer the following questions as honestly and clearly as possible. Your responses will be kept completely confidential. In answering these questions the following definitions apply:

• 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.

1	Over the past 4 weeks, how often did you feel sexual desire or interest?
	5	Almost always or always
	4	Most times (more than half the time)
	3	Sometimes (about half the time)
	2	A few times (less than half the time)
	1	Almost never or never
2	Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest?
	5	Very high
	4	High
	3	Moderate
	2	Low
	1	Very low or none at all
3	Over the past 4 weeks, how often did you feel sexually aroused (“turned on”) during sexual activity or intercourse?
	0	No sexual activity
	5	Almost always or always
	4	Most times (more than half the time)
	3	Sometimes (about half the time)
	2	A few times (less than half the time)
	1	Almost never or never
4	Over the past 4 weeks, how would you rate your level of sexual arousal (“turn on”) during sexual activity or intercourse?
	0	No sexual activity
	5	Very high
	4	High
	3	Moderate
	2	Low
	1	Very low or none at all

5	Over the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity or intercourse?
	0	No sexual activity
	5	Very high confidence
	4	High confidence
	3	Moderate confidence
	2	Low confidence
	1	Very low or no confidence
6	Over the past 4 weeks, how often have you been satisfied with your arousal (excitement) during sexual activity or intercourse?
	0	No sexual activity
	5	Almost always or always
	4	Most times (more than half the time)
	3	Sometimes (about half the time)
	2	A few times (less than half the time)
	1	Almost never or never
7	Over the past 4 weeks, how often did you become lubricated (“wet”) during sexual activity or intercourse?
	0	No sexual activity
	5	Almost always or always
	4	Most times (more than half the time)
	3	Sometimes (about half the time)
	2	A few times (less than half the time)
	1	Almost never or never
8	Over the past 4 weeks, how difficult was it to become lubricated (“wet”) during sexual activity or intercourse?
	0	No sexual activity
	1	Extremely difficult or impossible
	2	Very difficult
	3	Difficult
	4	Slightly difficult
	5	Not difficult
9	Over the past 4 weeks, how often did you maintain your lubrication (“wetness”) until completion of sexual activity or intercourse?
	0	No sexual activity
	5	Almost always or always
	4	Most times (more than half the time)
	3	Sometimes (about half the time)
	2	A few times (less than half the time)
	1	Almost never or never

10	Over the past 4 weeks, how difficult was it to maintain your lubrication (“wetness”) until completion of sexual activity or intercourse?
	0	No sexual activity
	1	Extremely difficult or impossible
	2	Very difficult
	3	Difficult
	4	Slightly difficult
	5	Not difficult
11	Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you reach orgasm (climax)?
	0	No sexual activity
	5	Almost always or always
	4	Most times (more than half the time)
	3	Sometimes (about half the time)
	2	A few times (less than half the time)
	1	Almost never or never
12	Over the past 4 weeks, when you had sexual stimulation or intercourse, how difficult was it for you to reach orgasm (climax)?
	0	No sexual activity
	1	Extremely difficult or impossible
	2	Very difficult
	3	Difficult
	4	Slightly difficult
	5	Not difficult
13	Over the past 4 weeks, how satisfied were you with your ability to reach orgasm (climax) during sexual activity or intercourse?
	0	No sexual activity
	5	Very satisfied
	4	Moderately satisfied
	3	About equally satisfied and dissatisfied
	2	Moderately dissatisfied
	1	Very dissatisfied
14	Over the past 4 weeks, how satisfied have you been with the amount of emotional closeness during sexual activity between you and your partner?
	0	No sexual activity
	5	Very satisfied
	4	Moderately satisfied
	3	About equally satisfied and dissatisfied
	2	Moderately dissatisfied
	1	Very dissatisfied

15	Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner?
	5	Very satisfied
	4	Moderately satisfied
	3	About equally satisfied and dissatisfied
	2	Moderately dissatisfied
	1	Very dissatisfied
16	Over the past 4 weeks, how satisfied have you been with your overall sexual life?
	5	Very satisfied
	4	Moderately satisfied
	3	About equally satisfied and dissatisfied
	2	Moderately dissatisfied
	1	Very dissatisfied
17	Over the past 4 weeks, how often did you experience discomfort or pain during vaginal penetration?
	0	Did not attempt intercourse
	1	Almost always or always
	2	Most times (more than half the time)
	3	Sometimes (about half the time)
	4	A few times (less than half the time)
	5	Almost never or never
18	Over the past 4 weeks, how often did you experience discomfort or pain following vaginal penetration?
	0	Did not attempt intercourse
	1	Almost always or always
	2	Most times (more than half the time)
	3	Sometimes (about half the time)
	4	A few times (less than half the time)
	5	Almost never or never
19	Over the past 4 weeks, how would you rate your level (degree) of discomfort or pain during or following vaginal penetration?
	0	Did not attempt intercourse
	1	Very high
	2	High
	3	Moderate
	4	Low
	5	Very low or none at all

Description

Validity and Reliability

Interpretation

• Desire (Qs 1,2)
• Arousal (Qs 3,4,5,6)
• Lubrication (Qs 7,8,9,10)
• Orgasm (Qs 11,12,13)
• Satisfaction (Qs 14,15,16)
• Pain (Qs 17,18,19)
• Total Score

Number Of Questions

References