ED & PE Male Sex Problem Survey Question Title * 1. What is your age? Under 18 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older Question Title * 2. What is your marital status? Single Living together Engaged (living separately) Engaged (living together) Married less than a year Married 1-3 years Married 4-6 years Married 7-10 years Married 11-15 years Married 16-20 years Married 21-25 years Married 26-30 years Married more than 30 years Separated Divorced Widowed Other (please specify) Question Title * 3. Do you ever have trouble getting an erection firm enough for intercourse? (Comments in next question) Never Only if I am very tried Yes, but less than 10% of the time Yes, 10% to 25% of the time Yes, 26% to 50% of the time Yes, 51% to 70% of the time Yes, 70% to 90% of the time Yes, more than 90% of the time. Question Title * 4. If you have erection problems, which of the following have you tried? Never had a problem Have a problem sometimes, but have tried nothing to fix it Topical cream Viagra or Cialis Herbs Constriction rings Support sleeve Vacuum Pump Injections Implant Porn Avoid sex Other (please specify) Question Title * 5. Do you ever have trouble with premature ejaculation? (For this question, defined as not being able to last for more than two minutes after intercourse begins, but not including intentional quickies.) Never Only when it's been a long time since we last had sex. Less than 10% of the time 10% to 25% of the time 26% to 50% of the time 51% to 70% of the time 70% to 90% of the time More than 90% of the time. Question Title * 6. If you have problems with ejaculating too soon which of the following have you tried? Not a problem for me. Not a problem often enough to be an issue. I do ejaculate too fast often enough it bothers me, but I've done nothing to try to fix it. Herbs Delay creams/sprays SSI's (antidepressants) Other prescribed drugs Masturbation Multiple condoms Avoiding sex Other (please specify) Done