1. How difficultis it for you to delay ejaculation?
· Not difficult at all
· Somewhat difficult
· Moderately difficult
· Very difficult
· Extremely difficult
2. Do you ejaculate before you want to?
· Never or almost never (0%)
· Less than half the time (25%)
· About half the time (50%)
· Over half the time (75%)
· Always or almost always (100%)
3. Do you ejaculate with very little stimulation?
· Never or almost never (0%)
· Less than half the time (25%)
· About half the time (50%)
· Over half the time (75%)
· Always or almost always (100%)
4. Do you feel frustrated because of ejaculating before you want to?
· Not at all
· Slightly
· Moderately
· Very
· Very Extremely
5. How concerned are you that your time to ejaculation leaves your partner unfulfilled?
· Not at all
· Slightly
· Moderately
· Very
· Very Extremely
1. How difficultis it for you to delay ejaculation?
· Not difficult at all
· Somewhat difficult
· Moderately difficult
· Very difficult
· Extremely difficult
2. Do you ejaculate before you want to?
· Never or almost never (0%)
· Less than half the time (25%)
· About half the time (50%)
· Over half the time (75%)
· Always or almost always (100%)
3. Do you ejaculate with very little stimulation?
· Never or almost never (0%)
· Less than half the time (25%)
· About half the time (50%)
· Over half the time (75%)
· Always or almost always (100%)
4. Do you feel frustrated because of ejaculating before you want to?
· Not at all
· Slightly
· Moderately
· Very
· Very Extremely
5. Do you feel your sexual confidence is affected by your time to ejaculation?
· Not at all
· Slightly
· Moderately
· Very
· Very Extremely
6. Do you feel you have control over the timing of your ejaculation?
· Not at all
· Slightly
· Moderately
· Very
· Very Extremely
7. Does your time to ejaculation leave your feeling disappointment with your sexual life?
· Not at all
· Slightly
· Moderately
· Very
· Very Extremely
8. How concerned are you that your time to ejaculation leaves your partner unfulfilled?
· Not at all
· Slightly
· Moderately
· Very
· Very Extremely
9. Does your time to ejaculation leave you feeling dissatisfied with your sexual life?
· Not at all
· Slightly
· Moderately
· Very
· Very Extremely
8: “no PE”‚ 9 and 10 “probable PE”‚ and 11 “PE”
This instrument can be found online at: https://www.researchgate.net/publication/6529877_Development_and_Validation_of_a_Premature_Ejaculation_Diagnostic_Tool & http://www.baus.org.uk/_userfiles/pages/files/Patients/Leaflets/PEDT.pdf
Symonds. T.‚ Perelman‚ M.A.‚ Althof‚ S.‚ et al. (2007). Development and validation of a premature ejaculation diagnostic tool. Eur Urol; 52(2)‚ 565-573