• MAP 520.795.5830
    Northwest Office
  • MAP 520.795.5830
    East Office
  • MAP 520.795.5830
    River Rd Office
  • Sexual Health Inventory for Men (SHIM)

    Sexual health is an important part of an individual's overall physical and emotional well-being. Erectile dysfunction, also known as impotence, is one type of very common medical condition affecting sexual health. Fortunately, there are many different treatment options for erectile dysfunction. This questionnaire is designed to help you and your doctor identify if you may be experiencing erectile dysfunction. If you are, you may choose to discuss treatment options with your doctor.

    Each question has several possible responses. Circle the number of the response that best describes your own situation. Please be sure that you select one and only one response for each question.


    OVER THE PAST 6 MONTHS:

  • Very LowLowModerateHighVery High
  • No Sexual ActivityAlmost Never or NeverA Few Times (much less than half)Sometimes (about half the time)Most Times (much more than, half the time)Almost Always or Always
  • Did Not Attempt IntercourseAlmost Never or NeverA Few Times (much less than half)Sometimes (about half the time)Most Times (much more than, half the time)Almost Always or Always
  • Did Not Attempt IntercourseExtremely DifficultVery DifficultDifficultSlightly DifficultNot Difficult
  • Did Not Attempt IntercourseAlmost Never or NeverA Few Times (much less than half)Sometimes (about half the time)Most Times (much more than, half the time)Almost Always or Always