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  • Female Sexual Function Index (FSFI)

    Confidential medical questionnaire
  • Date
     - -
    2 digit month, 2 digit day, 4 digit year

  • 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. Your responses will be kept completely confidential. 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.


    CHECK ONLY ONE BOX PER QUESTION.
    Sexual desire or interest is a feeling that includes wanting to have a sexual
    experience, feeling receptive to a partner's sexual initiation, and thinking or
    fantasizing about having sex

  • 1. Over the past 4 weeks, how often did you feel sexual desire or interest?*
  • 2. Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest?*
  • 3. Over the past 4 weeks, how often did you feel sexually aroused ("turned on") during sexual activity or intercourse?*

  • Sexual arousal is a feeling that includes both physical and mental aspects of sexual excitement. It may include feelings of warmth or tingling in the genitals, lubrication (wetness), or muscle contractions.

  • 4. Over the past 4 weeks, how would you rate your level of sexual arousal ("turn on") during sexual activity or intercourse?*
  • 5. Over the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity or intercourse?*
  • 6. Over the past 4 weeks, how often have you been satisfied with your arousal (excitement) during sexual activity or intercourse?*
  • 7. Over the past 4 weeks, how often did you become lubricated ("wet") during sexual activity or intercourse?*
  • 8. Over the past 4 weeks, how difficult was it to become lubricated ("wet") during sexual activity or intercourse?*
  • 9. Over the past 4 weeks, how often did you maintain your lubrication ("wetness") until completion of sexual activity or intercourse?*
  • 10. Over the past 4 weeks, how difficult was it to maintain your lubrication ("wetness") until completion of sexual activity or intercourse?*
  • 11. Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you reach orgasm (climax)?*
  • 12. Over the past 4 weeks, when you had sexual stimulation or intercourse, how difficult was it for you to reach orgasm (climax)?*
  • 13. Over the past 4 weeks, how satisfied were you with your ability to reach orgasm (climax) during sexual activity or intercourse?*
  • 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?*
  • 15. Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner?*
  • 16. Over the past 4 weeks, how satisfied have you been with your overall sexual life?*
  • 17. Over the past 4 weeks, how often did you experience discomfort or pain during vaginal penetration?*
  • 18. Over the past 4 weeks, how often did you experience discomfort or pain following vaginal penetration?*
  • 19. Over the past 4 weeks, how would you rate your level (degree) of discomfort or pain during or following vaginal penetration?*

  • Thank you for completing this questionnaire.

    All your responses are confidential.

  • Validation
    Meston CM. Validation of the Female Sexual Function Index (FSFI) in Women with Female Orgasmic Disorder and in Women with Hypoactive Sexual Desire Disorder. J Sex Marital Ther. 2003; 29(1): 39–46.

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