Patient's Information
FOLLOW UP QUESTIONNAIRE
Please answer the following questions to measure your erectile improvement to date:
**If prior use of PDE5i [i.e., Viagra, Cialis] please answer questions below.
The Erectile Hardness Score
Now please fill out the questionnaire you took before treatment #1. Your initial score was:
SHIM (Sexual Health Inventory for Men) SCORE
Please answer the following questions to measure your current situation:
Add the numbers you have chosen in question 1-5
The Sexual Health Inventory for Men classifications for ED severity:
Select a country first.