This questionnaire is a diagnostic tool for helping diagnose Female Sexual Dysfunction (FSD). It was originally published in The Journal of Marital and Sex Therapy: 2000: 26:191-208. It has been validated by several subsequent studies.
When you click the submit button the program will calculate the likelihood of you experiencing FSD. This tool is not meant to be a replacement for a doctor's diagnosis.
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. 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.
When you press the submit button we will check to make sure you have answered all the questions.
1) Over the past 4 weeks, how often did you feel sexual desire or interest?
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2) Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest?
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3) Over the past 4 weeks, how often did you feel sexually aroused ("turned on") during sexual activity or intercourse?
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4) Over the past 4 weeks, how would you rate your level of sexual arousal ("turn on") during sexual activity or intercourse?
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5) Over the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity or intercourse?
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6) Over the past 4 weeks, how often have you been satisfied with your arousal (excitement) during sexual activity or intercourse?
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7) Over the past 4 weeks, how often did you become lubricated ("wet") during sexual activity or intercourse?
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8) Over the past 4 weeks, how difficult was it to become lubricated ("wet") during sexual activity or intercourse?
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9) Over the past 4 weeks, how often did you maintain your lubrication ("wetness") until completion of sexual activity or intercourse?
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10) Over the past 4 weeks how difficult was it to maintain your lubrication ("wetness") until completion of sexual activity or intercourse?
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11) Over the past 4 weeks, When you had sexual stimulation or intercourse, how often did you reach orgasm (climax)?
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12) Over the past 4 weeks, when you had sexual stimulation or intercourse, how difficult was it for you to reach orgasm (climax)?
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13) Over the past 4 weeks, how satisfied were you with your ability to reach orgasm (climax) during sexual activity or intercourse?
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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?
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15) Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner?
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16) Over the past 4 weeks, how satisfied have you been with your overal sexual life?,
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17) Over the past 4 weeks, how often did you experience discomfort or pain during during vaginal penetration?
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18) Over the past 4 weeks, how often did you experience discomfort or pain following vaginal penetration?
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19) Over the past 4 weeks, how would you rate your level (degree) of discomfort or pain during or following vaginal penetration?
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20) May we store your selections in our database?
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