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Erectile Dysfunction Score Sheet (SHIM)

Patient Instructions

  • Sexual health is an important part of an individual's overall physical and emotional well-being. Erectile dysfunction,also known as impotence, is one type of very common medical condition affecting sexual health. Fortunately, thereare many different treatment options for erectile dysfunction. This questionnaire is designed to help you and yourdoctor identify if you may be experiencing erectile dysfunction. If you are, you may choose to discuss treatment options with your doctor.
  • Each question has several possible responses. Circle the number of the response that best describes your own situation. Please be sure that you select one and only one response for each question

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