• Area between rectum and testicles (perineum) Testicles Tip of the penis (not related to urination) Below your waist, in your pubic or bladder area
    YesNo YesNo YesNo YesNo
  • Pain or burning during urination? Pain or discomfort during or after sexual climax (ejaculation)?
    YesNo YesNo
  • Never Rarely Sometimes Often Usually Allways
  • 0 1 2 3 4 5
  • Not at all Less than 1 time in 5 Less than half time About half time More than half time Almost allways
  • Not at all Less than 1 time in 5 Less than half time About half time More than half time Almost allways
  • None Only a little Some A lot
  • None Only a little Some A lot
  • Delighted Pleased Mostly satisfied Mixed (about equally satisfied and dissatisfied) Mostly dissatisfied Unhappy