APPENDIX 1: Female Sexual Function Index Scoring (Fill in the form and pick the appropriate answer to each question) Name * Email * Phone Number Are you a Current Patient? YesNo 1. Over the past 4 weeks, how often did you feel sexual desire or interest? * 5 = Almost always or always4 = Most times (more than half the time)3 = Sometimes (about half the time)2 = A few times (less than half the time)1 = Almost never or never 2. Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest? * 5 = Very high4 = High3 = Moderate2 = Low1 = Very low or none at all 3. Over the past 4 weeks, how often did you feel sexually aroused ("turned on") during sexual activity or intercourse? * 0 = No sexual activity5 = Almost always or always4 = Most times (more than half the time)3 = Sometimes (about half the time)2 = A few times (less than half the time)1 = Almost never or never 4. Over the past 4 weeks, how would you rate your level of sexual arousal ("turn on") during sexual activity or intercourse? * 0 = No sexual activity5 = Very high4 = High3 = Moderate2 = Low1 = Very low or none at all 5. Over the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity or intercourse? * 0 = No sexual activity5 = Very high confidence4 = High confidence3 = Moderate confidence2 = Low confidence1 = Very low or no confidence 6. Over the past 4 weeks, how often have you been satisfied with your arousal (excitement) during sexual activity or intercourse? * 0 = No sexual activity5 = Almost always or always4 = Most times (more than half the time)3 = Sometimes (about half the time)2 = A few times (less than half the time)1 = Almost never or never 7. Over the past 4 weeks, how often did you become lubricated ("wet") during sexual activity or intercourse? * 0 = No sexual activity5 = Almost always or always4 = Most times (more than half the time)3 = Sometimes (about half the time)2 = A few times (less than half the time)1 = Almost never or never 8. Over the past 4 weeks, how difficult was it to become lubricated ("wet") during sexual activity or intercourse? * 0 = No sexual activity1 = Extremely difficult or impossible2 = Very difficult3 = Difficult4 = Slightly difficult5 = Not difficult 9. Over the past 4 weeks, how often did you maintain your lubrication ("wetness") until completion of sexual activity or intercourse? * 0 = No sexual activity5 = Almost always or always4 = Most times (more than half the time)3 = Sometimes (about half the time)2 = A few times (less than half the time)1 = Almost never or never 10. Over the past 4 weeks, how difficult was it to maintain your lubrication ("wetness") until completion of sexual activity or intercourse? * 0 = No sexual activity1 = Extremely difficult or impossible2 = Very difficult3 = Difficult4 = Slightly difficult5 = Not difficult NEXT 11. Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you reach orgasm (climax)? * 0 = No sexual activity5 = Almost always or always4 = Most times (more than half the time)3 = Sometimes (about half the time)2 = A few times (less than half the time)1 = Almost never or never 12. Over the past 4 weeks, when you had sexual stimulation or intercourse, how difficult was it for you to reach orgasm (climax)? * 0 = No sexual activity1 = Extremely difficult or impossible2 = Very difficult3 = Difficult4 = Slightly difficult5 = Not difficult 13. Over the past 4 weeks, how satisfied were you with your ability to reach orgasm (climax) during sexual activity or intercourse? * 0 = No sexual activity5 = Very satisfied4 = Moderately satisfied3 = About equally satisfied and dissatisfied2 = Moderately dissatisfied1 = Very dissatisfied 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? * 0 = No sexual activity5 = Very satisfied4 = Moderately satisfied3 = About equally satisfied and dissatisfied2 = Moderately dissatisfied1 = Very dissatisfied 15. Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner? * 5 = Very satisfied4 = Moderately satisfied3 = About equally satisfied and dissatisfied2 = Moderately dissatisfied1 = Very dissatisfied 16. Over the past 4 weeks, how satisfied have you been with your overall sexual life? * 5 = Very satisfied4 = Moderately satisfied3 = About equally satisfied and dissatisfied2 = Moderately dissatisfied1 = Very dissatisfied BACKNEXT 17. Over the past 4 weeks, how often did you experience discomfort or pain during vaginal penetration? * 0 = Did not attempt intercourse1 = Almost always or always2 = Most times (more than half the time)3 = Sometimes (about half the time)4 = A few times (less than half the time)5 = Almost never or never 18. Over the past 4 weeks, how often did you experience discomfort or pain following vaginal penetration? * 0 = Did not attempt intercourse1 = Almost always or always2 = Most times (more than half the time)3 = Sometimes (about half the time)4 = A few times (less than half the time)5 = Almost never or never 19. Over the past 4 weeks, how would you rate your level (degree) of discomfort or pain during or following vaginal penetration? * 0 = Did not attempt intercourse1 = Very high2 = High3 = Moderate4 = Low5 = Very low or none at all After you complete, submit the form by pressing the "SUBMIT" button below when you complete. BACK