Welcome to your Premature Ejaculation Check-up

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Phone No.
1. How is your sexual libido or interest?

2. Is your erection rigid enough for sexual intercourse?

3. Can you maintain erection until the end of sexual intercourse?

4. What is the duration from penis penetration to ejaculation?

5. How difficult is it to prolong the sexual intercourse?

6. Are you satisfied with your sexual life?

7. Is your partner satisfied with her sexual life?

8. Does your partner reach orgasm during sexual intercourse?

9. How is your confidence in completing sexual intercourse?

10. Do you feel anxious, depressed or stressful during sexual intercourse?