The Sexual Health Inventory for Men (SHIM) Questionnaire is a validated questionnaire that is widely used in urology clinics to evaluate and assess treatment efficacy for erectile dysfunction (ED).
1) How do you rate your confidence that you could get and keep an erection?
1. Very low
2. Low
3. Moderate
4. High
5. Very high
2) When you had erections with sexual stimulation, how often were your erections firm enough for penetration?
1. No sexual activity
2. Almost never or never
3. A few times (much less than half the time)
4. Sometimes (about half the time)
5. Most times (much more than half the time)
6. Almost always or always
3) During sexual intercourse, how often were you able to maintain your erection after penetration?
1. Did not attempt intercourse
2. Almost never or never
3. A few times (much less than half the time)
4. Sometimes (about half the time)
5. Most times (much more than half the time)
6. Almost always or always
4) During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?
1. Did not attempt intercourse
2. Extremely difficult
3. Very difficult
4. Difficult
5. Slightly difficult
6. Not difficult
5) When you attempted sexual intercourse, how often was it satisfactory for you?
1. Did not attempt intercourse
2. Almost never or never
3. A few times (much less than half the time)
4. Sometimes (about half the time)
5. Most times (much more than half the time)
6. Almost always or always
Add Your Total:
1-7
Severe ED
8-11
Moderate ED
12-16
Mild to Moderate ED
17-21
Mild ED
22-25
No signs of ED
Unlocking your potential and leveling up your vitality with new heights in men’s health.
Mon – Thurs: 9AM – 5PM
Fri: 9AM – 12PM
(Closed Sat & Sun)
Walk-ins Welcome
4095 MALLORY LANE
FRANKLIN, TN. 37067
(615) 767-6726
Fax: (615) 622-8953
[email protected]