Testosterone for Women Self Assessment

These questionnaires are used to assist with the diagnosis and management of testosterone deficiency in women. They cover areas of sexuality, depression and quality of life indexes. There are many other similar investigative questionnaires used by health professionals, but these are some of the better assessment and management tools frequently employed when examining sexual and psychological parameters.

• Sabbatsberg Sexual Rating Scale (for use by pre-menopausal women)
• Brief Index of Sexual Function in Women (BISF-W) (for use in menopausal women) – Female Sexual Function Index Questionnaire & Female Sexual Function Index Scoring Appendix
• Becks Depression Score
• Quality of Life Index

Symptoms
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	N/A
2) Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest?
Very high	High	Moderate	Low	Very low or none at all	N/A
3) Over the past 4 weeks, how often did you feel sexually aroused (“turned on”) during sexual activity or 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	No sexual activity
4) Over the past 4 weeks, how would you rate your level of sexual arousal (“turn on”) during sexual activity or intercourse?
Very high	High	Moderate	Low	Very low or none at all	No sexual activity
5) Over the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity or intercourse?
Very high confidence	High confidence	Moderate confidence	Low confidence	Very low or no confidence	No sexual activity
6) Over the past 4 weeks, how often have you been satisfied with your arousal (excitement) during sexual activity or 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	No sexual activity
7) Over the past 4 weeks, how often did you become lubricated (“wet”) during sexual activity or 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	No sexual activity
Over the past 4 weeks, how difficult was it to become lubricated (“wet”) during sexual activity or intercourse?
Extremely difficult or impossible	Very difficult	Difficult	Slightly difficult	Not difficult	No sexual activity
9) Over the past 4 weeks, how often did you maintain your lubrication (“wetness”) until completion of sexual activity or 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	No sexual activity
10) Over the past 4 weeks, how difficult was it to maintain your lubrication (“wetness”) until completion of sexual activity or intercourse?
Extremely difficult or impossible	Very difficult	Difficult	Slightly difficult	Not difficult	No sexual activity
11) Over the past 4 weeks, when you had sexual stimulation or intercourse, how oftendid you reach orgasm (climax)?
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	No sexual activity
12) Over the past 4 weeks, when you had sexual stimulation or intercourse, howdifficult was it for you to reach orgasm (climax)?
Extremely difficult or impossible	Very difficult	Difficult	Slightly difficult	Not difficult	No sexual activity
13) Over the past 4 weeks, how satisfied were you with your ability to reach orgasm (climax) during sexual activity or intercourse?
Very satisfied	Moderately satisfied	About equally satisfied and dissatisfied	Moderately dissatisfied	Very dissatisfied	No sexual activity
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?
Very satisfied	Moderately satisfied	About equally satisfied and dissatisfied	Moderately dissatisfied	Very dissatisfied	No sexual activity
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	Purposefully left blank
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	Purposefully left blank
17) Over the past 4 weeks, how often did you experience discomfort or pain duringvaginal penetration?
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	Did not attempt intercourse
18) Over the past 4 weeks, how often did you experience discomfort or pain following vaginal penetration?
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	Did not attempt intercourse
19) Over the past 4 weeks, how would you rate your level (degree) of discomfort or pain during or following vaginal penetration?
Very high	High	Moderate	Low	Very low or none at all	Did not attempt intercourse