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, self-stimulation
(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
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
Very high
High
Moderate
Low
Very low or none at all
Sexual arousal is a feeling that includes both physical and mental aspects of sexual excitement. It may include feelings of warmth or tingling in the genitals, lubrication (wetness), or muscle contractions.
3. Over the past 4 weeks, how
No sexual activity
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
4. Over the past 4 weeks, how would you rate your
No sexual activity
Very high
High
Moderate
Low
Very low or none at all
5. Over the past 4 weeks, how
No sexual activity
Very high confidence
High confidence
Moderate confidence
Low confidence
Very low or no confidence
6. Over the past 4 weeks, how
No sexual activity
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
7. Over the past 4 weeks, how often did you become lubricated (”wet”) during sexual activity or intercourse?
No sexual activity
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
8. Over the past 4 weeks, how
No sexual activity
Extremely difficult or impossible
Very difficult
Difficult
Slightly difficult
Not difficult
9. Over the past 4 weeks, how often did you
No sexual activity
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
10. Over the past 4 weeks, how
No sexual activity
Extremely difficult or impossible
Very difficult
Difficult
Slightly difficult
Not difficult
11. Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you reach orgasm (climax)?
No sexual activity
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
12. Over the past 4 weeks, when you had sexual stimulation or intercourse, how
No sexual activity
Extremely difficult or impossible
Very difficult
Difficult
Slightly difficult
Not difficult
13. Over the past 4 weeks, how
No sexual activity
Very satisfied
Moderately satisfied
About equally satisfied and dissatisfied
Moderately dissatisfied
Very dissatisfied
14. Over the past 4 weeks, how
No sexual activity
Very satisfied
Moderately satisfied
About equally satisfied and dissatisfied
Moderately dissatisfied
Very dissatisfied
15. Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner?
Very satisfied
Moderately satisfied
About equally satisfied and dissatisfied
Moderately dissatisfied
Very dissatisfied
16. Over the past 4 weeks, how
satisfied
have you been with your overall sexual life?
Very satisfied
Moderately satisfied
About equally satisfied and dissatisfied
Moderately dissatisfied
Very dissatisfied
17. Over the past 4 weeks, how o
Did not attempt intercourse
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
18. Over the past 4 weeks, how
Did not attempt intercourse
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
19.Over the past 4 weeks, how would you rate your
Did not attempt intercourse
Very high
High
Moderate
Low
Very low or none at all
Thank you for completing this questionnaire
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level (degree) of discomfort or pain during or following vaginal penetration?often did you experience discomfort or pain following vaginal penetration?ften did you experience discomfort or pain during vaginal penetration?satisfied have you been with the amount of emotional closeness during sexual activity between you and your partner?
satisfied were you with your ability to reach orgasm (climax) during sexual activity or intercourse?difficult was it for you to reach orgasm (climax)?difficult was it to maintain your lubrication (”wetness”) until completion of sexual activity or intercourse?maintain your lubrication (”wetness”) until completion of sexual activity or intercourse?difficult was it to become lubricated (”wet”) during sexual activity or intercourse?often have you been satisfied with your arousal (excitement) during sexual activity or intercourse?confident were you about becoming sexually aroused during sexual activity or intercourse?level of sexual arousal (”turn on”) during sexual activity or intercourse?often did you feel sexually aroused (”turned on”) during sexual activity or intercourse?
level (degree) of sexual desire or interest?often did you feel sexual desire or interest?
