Sexual Dysfunction in Men and Women. Stanley Zaslau

Appendix 1

Female Sexual Function Index

Female Sexual Function Index (FSFI)

Subject Identifier  Date

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, selfstimulation (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?

 Almost always or always

 Most times (more than half the time)

 Sometimes (about half the time)

 A few times (less than half the time)

 Almost never or never

2. Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest?



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