ID

8617

Descripción

Z6051 International Index of Erectile Function Questionnaire (IIEF) Laparoscopic-Assisted Resection or Open Resection in Treating Patients With Stage IIA, Stage IIIA, or Stage IIIB Rectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4AE9A885-FEFA-574B-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4AE9A885-FEFA-574B-E044-0003BA3F9857

Palabras clave

Versiones (3)
  1. 27/8/12 27/8/12 -
  2. 20/3/14 20/3/14 - Martin Dugas
  3. 9/1/15 9/1/15 - Martin Dugas
Subido en

9 de enero de 2015

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0 Legacy
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Colorectal Cancer NCT00726622 Quality of Life - Z6051 International Index of Erectile Function Questionnaire (IIEF) - 2740994v1.0

Inglés

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.

1 formularios  
Header Module
Descripción

Header Module

Type of Visit
Descripción

VisitType

Tipo de datos

string

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus Property
C25616
NCI Thesaurus ObjectClass
C19712
NCI Thesaurus ObjectClass-2
C25716
UMLS CUI
C0332307
UMLS CUI-2
C1948053
UMLS CUI-3
C1515944
UMLS CUI-4
C0545082
Patient ID (Pt. ID issued during registration unless pt. previously registered to an ACOSOG study.)
Descripción

Patient Study ID

Tipo de datos

string

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25462
NCI Thesaurus Property-2
C25364
UMLS CUI-1
C2348585
Patient Initials
Descripción

Patient Initials

Tipo de datos

string

Alias
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
UMLS CUI-1
C2986440
Institution Name
Descripción

Institution Name

Tipo de datos

string

Alias
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus ObjectClass
C21541
NCI Thesaurus ValueDomain-2
C21541
NCI Thesaurus Property
C25364
UMLS CUI-1
C1301943
Institution No.
Descripción

Institution Number

Tipo de datos

string

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C21541
NCI Thesaurus Property
C25364
UMLS CUI-1
C1301943
UMLS CUI-2
C0805701
Date of Assessment
Descripción

Assessment Date

Tipo de datos

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C25367
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus Property
C38000
UMLS CUI-1
C2985720
IIEF
Descripción

IIEF

Over the past 4 weeks, how often were you able to have an erection during sexual activity
Descripción

ErectionLast4weeks

Tipo de datos

string

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C25275
NCI Thesaurus Property-3
C25740
NCI Thesaurus ValueDomain
C25664
UMLS CUI
C0518214
UMLS CUI-2
C0036864
UMLS CUI-3
C2745955
UMLS CUI-4
C0030847
UMLS CUI-5
C0349674
Over the past 4 weeks, when you had erections with sexual stimulation, how often were your erections hard enough for penetration
Descripción

HardErectionLast4weeks

Tipo de datos

string

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C25275
NCI Thesaurus Property-3
C25740
NCI Thesaurus Property-4
C25612
NCI Thesaurus Property-5
C63351
NCI Thesaurus ValueDomain
C25664
UMLS CUI
C0518214
UMLS CUI-2
C0036864
UMLS CUI-3
C2745955
UMLS CUI-4
C0030847
UMLS CUI-5
C0205321
UMLS CUI-6
C0205410
UMLS CUI-7
C0349674
Over the past 4 weeks, when you attempted sexual intercourse, how often were you able to penetrate (enter) your partner
Descripción

PenetrationLast4weeks

Tipo de datos

string

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C25275
NCI Thesaurus Property-3
C25612
NCI Thesaurus ValueDomain
C25664
UMLS CUI
C0518214
UMLS CUI-2
C0036864
UMLS CUI-3
C2745955
UMLS CUI-4
C0205321
UMLS CUI-5
C0349674
Over the past 4 weeks, during sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner
Descripción

MaintainErectionLast4weeks

Tipo de datos

string

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C38008
NCI Thesaurus Property-3
C25275
NCI Thesaurus Property-4
C25740
NCI Thesaurus Property-5
C25612
NCI Thesaurus ValueDomain
C25664
UMLS CUI
C0518214
UMLS CUI-2
C0036864
UMLS CUI-3
C0687676
UMLS CUI-4
C2745955
UMLS CUI-5
C0030847
UMLS CUI-6
C0205321
UMLS CUI-7
C0349674
Over the past 4 weeks, during sexual intercourse, how difficult was it to maintain your erection to complete intercourse
Descripción

MaintainErection2Last4weeks

Tipo de datos

string

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C53297
NCI Thesaurus Property-3
C62189
NCI Thesaurus Property-4
C25740
NCI Thesaurus ValueDomain
C25664
UMLS CUI
C0518214
UMLS CUI-2
C0036864
UMLS CUI-3
C0024501
UMLS CUI-4
C1299586
UMLS CUI-5
C0030847
UMLS CUI-6
C0349674
Over the past 4 weeks, how many times did you attempt sexual intercourse
Descripción

FreqSexualIntercourseLast4weeks

Tipo de datos

string

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C25275
NCI Thesaurus Property-3
C72881
NCI Thesaurus ValueDomain
C25664
UMLS CUI
C0518214
UMLS CUI-2
C0036864
UMLS CUI-3
C2745955
UMLS CUI-4
C0009253
UMLS CUI-5
C0349674
Over the past 4 weeks, when you attempted sexual intercourse, how often was it satisfactory for you
Descripción

FreqSatisfSexualIntercourseLast4weeks

Tipo de datos

string

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C62185
NCI Thesaurus Property-3
C25275
NCI Thesaurus Property-4
C72881
NCI Thesaurus ValueDomain
C25664
UMLS CUI
C0518214
UMLS CUI-2
C0036864
UMLS CUI-3
C0242428
UMLS CUI-4
C2745955
UMLS CUI-5
C0009253
UMLS CUI-6
C0349674
Over the past 4 weeks, how much did you enjoy sexual intercourse
Descripción

EnjoySexualIntercourseLast4weeks

Tipo de datos

string

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C62185
NCI Thesaurus Property-3
C72881
NCI Thesaurus ValueDomain
C25664
UMLS CUI
C0518214
UMLS CUI-2
C0036864
UMLS CUI-3
C0242428
UMLS CUI-4
C0009253
UMLS CUI-5
C0349674
Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you ejaculate
Descripción

FreqEjaculation

Tipo de datos

string

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C25275
NCI Thesaurus Property-3
C72881
NCI Thesaurus Property-4
C16531
NCI Thesaurus ValueDomain
C25664
UMLS CUI
C0518214
UMLS CUI-2
C0036864
UMLS CUI-3
C2745955
UMLS CUI-4
C0009253
UMLS CUI-5
C0013746
UMLS CUI-6
C0349674
Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you have the feeling of orgasm or climax
Descripción

Orgasm

Tipo de datos

string

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C25275
NCI Thesaurus Property-3
C73521
NCI Thesaurus ValueDomain
C25664
UMLS CUI
C0518214
UMLS CUI-2
C0036864
UMLS CUI-3
C2745955
UMLS CUI-4
C0029260
UMLS CUI-5
C0349674
Over the past 4 weeks, how often did you feel sexual desire
Descripción

Libido

Tipo de datos

string

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C37986
NCI Thesaurus ValueDomain
C25664
UMLS CUI
C0518214
UMLS CUI-2
C0036864
UMLS CUI-3
C0023618
UMLS CUI-4
C0349674
Over the past 4 weeks, how would you rate your level of sexual desire
Descripción

LibidoLevel

Tipo de datos

string

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C25275
NCI Thesaurus Property-3
C37986
NCI Thesaurus ValueDomain
C25664
UMLS CUI
C0518214
UMLS CUI-2
C0036864
UMLS CUI-3
C2745955
UMLS CUI-4
C0023618
UMLS CUI-5
C0349674
Over the past 4 weeks, how satisfied have you been with your overall sexual life
Descripción

OverallSatisfaction

Tipo de datos

string

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25605
NCI Thesaurus Property-2
C25367
NCI Thesaurus Property-3
C62185
NCI Thesaurus ValueDomain
C25664
UMLS CUI
C0518214
UMLS CUI-2
C0036864
UMLS CUI-3
C1561607
UMLS CUI-4
C0242428
UMLS CUI-5
C0349674
Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner
Descripción

SatisfactionSexualRelationship

Tipo de datos

string

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C62185
NCI Thesaurus ValueDomain
C25664
UMLS CUI
C0518214
UMLS CUI-2
C0036864
UMLS CUI-3
C0242428
UMLS CUI-4
C0349674
Over the past 4 weeks, how do you rate your confidence that you could have and keep an erection
Descripción

ConfidenceErection

Tipo de datos

string

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C43367
NCI Thesaurus Property-3
C25740
NCI Thesaurus ValueDomain
C25664
UMLS CUI
C0518214
UMLS CUI-2
C0036864
UMLS CUI-3
C1704726
UMLS CUI-4
C0030847
UMLS CUI-5
C0349674
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Similar models

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.

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Header Module
Item
Type of Visit
string
C25284 (NCI Thesaurus ValueDomain)
C25616 (NCI Thesaurus Property)
C19712 (NCI Thesaurus ObjectClass)
C25716 (NCI Thesaurus ObjectClass-2)
C0332307 (UMLS CUI)
C1948053 (UMLS CUI-2)
C1515944 (UMLS CUI-3)
C0545082 (UMLS CUI-4)
CL.1
Code List
Type of Visit
CL Item
Pre-operative (1)
CL Item
4-6 Weeks Post-surgery (2)
CL Item
Month 3 (3)
CL Item
Month 12 (4)
Patient Study ID
Item
Patient ID (Pt. ID issued during registration unless pt. previously registered to an ACOSOG study.)
string
C25337 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25462 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI-1)
Patient Initials
Item
Patient Initials
string
C25191 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C2986440 (UMLS CUI-1)
Institution Name
Item
Institution Name
string
C25191 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C25364 (NCI Thesaurus Property)
C1301943 (UMLS CUI-1)
Institution Number
Item
Institution No.
string
C25337 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C1301943 (UMLS CUI-1)
C0805701 (UMLS CUI-2)
Assessment Date
Item
Date of Assessment
date
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus ValueDomain-2)
C38000 (NCI Thesaurus Property)
C2985720 (UMLS CUI-1)
Item Group
IIEF
Item
Over the past 4 weeks, how often were you able to have an erection during sexual activity
string
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C25367 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C25740 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C0518214 (UMLS CUI)
C0036864 (UMLS CUI-2)
C2745955 (UMLS CUI-3)
C0030847 (UMLS CUI-4)
C0349674 (UMLS CUI-5)
CL.2
Code List
Over the past 4 weeks, how often were you able to have an erection during sexual activity
CL Item
A Few Times (1)
CL Item
Almost Always/ Always (2)
CL Item
Almost Never/ Never (3)
CL Item
Most Times (4)
CL Item
No Sexual Activity (5)
CL Item
Sometimes (6)
Item
Over the past 4 weeks, when you had erections with sexual stimulation, how often were your erections hard enough for penetration
string
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C25367 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C25740 (NCI Thesaurus Property-3)
C25612 (NCI Thesaurus Property-4)
C63351 (NCI Thesaurus Property-5)
C25664 (NCI Thesaurus ValueDomain)
C0518214 (UMLS CUI)
C0036864 (UMLS CUI-2)
C2745955 (UMLS CUI-3)
C0030847 (UMLS CUI-4)
C0205321 (UMLS CUI-5)
C0205410 (UMLS CUI-6)
C0349674 (UMLS CUI-7)
CL.3
Code List
Over the past 4 weeks, when you had erections with sexual stimulation, how often were your erections hard enough for penetration
CL Item
A Few Times (1)
CL Item
Almost Always/ Always (2)
CL Item
Almost Never/ Never (3)
CL Item
Most Times (4)
CL Item
No Sexual Activity (5)
CL Item
Sometimes (6)
Item
Over the past 4 weeks, when you attempted sexual intercourse, how often were you able to penetrate (enter) your partner
string
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C25367 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C25612 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C0518214 (UMLS CUI)
C0036864 (UMLS CUI-2)
C2745955 (UMLS CUI-3)
C0205321 (UMLS CUI-4)
C0349674 (UMLS CUI-5)
CL.4
Code List
Over the past 4 weeks, when you attempted sexual intercourse, how often were you able to penetrate (enter) your partner
CL Item
A Few Times (1)
CL Item
Almost Always/ Always (2)
CL Item
Almost Never/ Never (3)
CL Item
Most Times (4)
CL Item
No Sexual Activity (5)
CL Item
Sometimes (6)
Item
Over the past 4 weeks, during sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner
string
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C25367 (NCI Thesaurus Property)
C38008 (NCI Thesaurus Property-2)
C25275 (NCI Thesaurus Property-3)
C25740 (NCI Thesaurus Property-4)
C25612 (NCI Thesaurus Property-5)
C25664 (NCI Thesaurus ValueDomain)
C0518214 (UMLS CUI)
C0036864 (UMLS CUI-2)
C0687676 (UMLS CUI-3)
C2745955 (UMLS CUI-4)
C0030847 (UMLS CUI-5)
C0205321 (UMLS CUI-6)
C0349674 (UMLS CUI-7)
CL.5
Code List
Over the past 4 weeks, during sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner
CL Item
A Few Times (A few times)
CL Item
Almost Always/ Always (almost always/ always)
CL Item
Almost Never/ Never (almost never/ never)
CL Item
Did Not Attempt Intercourse (Did not attempt intercourse)
CL Item
Most Times (Most times)
CL Item
Sometimes (Sometimes)
Item
Over the past 4 weeks, during sexual intercourse, how difficult was it to maintain your erection to complete intercourse
string
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C25367 (NCI Thesaurus Property)
C53297 (NCI Thesaurus Property-2)
C62189 (NCI Thesaurus Property-3)
C25740 (NCI Thesaurus Property-4)
C25664 (NCI Thesaurus ValueDomain)
C0518214 (UMLS CUI)
C0036864 (UMLS CUI-2)
C0024501 (UMLS CUI-3)
C1299586 (UMLS CUI-4)
C0030847 (UMLS CUI-5)
C0349674 (UMLS CUI-6)
CL.6
Code List
Over the past 4 weeks, during sexual intercourse, how difficult was it to maintain your erection to complete intercourse
CL Item
Did Not Attempt Intercourse (Did not attempt intercourse)
CL Item
Difficult (Difficult)
CL Item
Not Difficult (Not difficult)
CL Item
Slightly Difficult (Slightly difficult)
CL Item
Very Difficult (Very difficult)
CL Item
Extremely Difficult (Extremely difficult)
Item
Over the past 4 weeks, how many times did you attempt sexual intercourse
string
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C25367 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C72881 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C0518214 (UMLS CUI)
C0036864 (UMLS CUI-2)
C2745955 (UMLS CUI-3)
C0009253 (UMLS CUI-4)
C0349674 (UMLS CUI-5)
CL.7
Code List
Over the past 4 weeks, how many times did you attempt sexual intercourse
CL Item
Five To Six Attempts (Five to six attempts)
CL Item
More Than Eleven Attempts (More than eleven attempts)
CL Item
No Attempt (No attempt)
CL Item
One To Two Attempts (One to two attempts)
CL Item
Seven To Ten Attempts (Seven to ten attempts)
CL Item
Three To Four Attempts (Three to four attempts)
Item
Over the past 4 weeks, when you attempted sexual intercourse, how often was it satisfactory for you
string
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C25367 (NCI Thesaurus Property)
C62185 (NCI Thesaurus Property-2)
C25275 (NCI Thesaurus Property-3)
C72881 (NCI Thesaurus Property-4)
C25664 (NCI Thesaurus ValueDomain)
C0518214 (UMLS CUI)
C0036864 (UMLS CUI-2)
C0242428 (UMLS CUI-3)
C2745955 (UMLS CUI-4)
C0009253 (UMLS CUI-5)
C0349674 (UMLS CUI-6)
CL.8
Code List
Over the past 4 weeks, when you attempted sexual intercourse, how often was it satisfactory for you
CL Item
A Few Times (A few times)
CL Item
Almost Always/ Always (almost always/ always)
CL Item
Almost Never/ Never (almost never/ never)
CL Item
Did Not Attempt Intercourse (Did not attempt intercourse)
CL Item
Most Times (Most times)
CL Item
Sometimes (Sometimes)
Item
Over the past 4 weeks, how much did you enjoy sexual intercourse
string
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C25367 (NCI Thesaurus Property)
C62185 (NCI Thesaurus Property-2)
C72881 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C0518214 (UMLS CUI)
C0036864 (UMLS CUI-2)
C0242428 (UMLS CUI-3)
C0009253 (UMLS CUI-4)
C0349674 (UMLS CUI-5)
CL.9
Code List
Over the past 4 weeks, how much did you enjoy sexual intercourse
CL Item
Fairly Enjoyable (Fairly enjoyable)
CL Item
Highly Enjoyable (Highly enjoyable)
CL Item
No Enjoyment (No enjoyment)
CL Item
No Intercourse (No intercourse)
CL Item
Not Very Enjoyable (Not very enjoyable)
CL Item
Very Highly Enjoyable (Very highly enjoyable)
Item
Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you ejaculate
string
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C25367 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C72881 (NCI Thesaurus Property-3)
C16531 (NCI Thesaurus Property-4)
C25664 (NCI Thesaurus ValueDomain)
C0518214 (UMLS CUI)
C0036864 (UMLS CUI-2)
C2745955 (UMLS CUI-3)
C0009253 (UMLS CUI-4)
C0013746 (UMLS CUI-5)
C0349674 (UMLS CUI-6)
CL.10
Code List
Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you ejaculate
CL Item
A Few Times (A few times)
CL Item
Almost Always/ Always (almost always/ always)
CL Item
Almost Never/ Never (almost never/ never)
CL Item
Did Not Attempt Intercourse (Did not attempt intercourse)
CL Item
Most Times (Most times)
CL Item
Sometimes (Sometimes)
Item
Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you have the feeling of orgasm or climax
string
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C25367 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C73521 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C0518214 (UMLS CUI)
C0036864 (UMLS CUI-2)
C2745955 (UMLS CUI-3)
C0029260 (UMLS CUI-4)
C0349674 (UMLS CUI-5)
CL.11
Code List
Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you have the feeling of orgasm or climax
CL Item
A Few Times (A few times)
CL Item
Almost Always/ Always (almost always/ always)
CL Item
Almost Never/ Never (almost never/ never)
CL Item
Most Times (Most times)
CL Item
Sometimes (Sometimes)
Item
Over the past 4 weeks, how often did you feel sexual desire
string
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C25367 (NCI Thesaurus Property)
C37986 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C0518214 (UMLS CUI)
C0036864 (UMLS CUI-2)
C0023618 (UMLS CUI-3)
C0349674 (UMLS CUI-4)
CL.12
Code List
Over the past 4 weeks, how often did you feel sexual desire
CL Item
A Few Times (A few times)
CL Item
Almost Always/ Always (almost always/ always)
CL Item
Almost Never/ Never (almost never/ never)
CL Item
Most Times (Most times)
CL Item
Sometimes (Sometimes)
Item
Over the past 4 weeks, how would you rate your level of sexual desire
string
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C25367 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C37986 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C0518214 (UMLS CUI)
C0036864 (UMLS CUI-2)
C2745955 (UMLS CUI-3)
C0023618 (UMLS CUI-4)
C0349674 (UMLS CUI-5)
CL.13
Code List
Over the past 4 weeks, how would you rate your level of sexual desire
CL Item
High (High)
C25227 (NCI Thesaurus)
C0205250 (UMLS 2011AA)
CL Item
Low (Low)
C54722 (NCI Thesaurus)
C0205251 (UMLS 2011AA)
CL Item
Moderation (Moderate)
C61376 (NCI Thesaurus)
C1881878 (UMLS 2011AA)
CL Item
Very High (Very high)
CL Item
Very Low Or None At All (Very low or none at all)
Item
Over the past 4 weeks, how satisfied have you been with your overall sexual life
string
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C25605 (NCI Thesaurus Property)
C25367 (NCI Thesaurus Property-2)
C62185 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C0518214 (UMLS CUI)
C0036864 (UMLS CUI-2)
C1561607 (UMLS CUI-3)
C0242428 (UMLS CUI-4)
C0349674 (UMLS CUI-5)
CL.14
Code List
Over the past 4 weeks, how satisfied have you been with your overall sexual life
CL Item
About Equally Satisfied And Dissatisfied (About equally satisfied and dissatisfied)
CL Item
Moderately Dissatisfied (Moderately dissatisfied)
CL Item
Moderately Satisfied (Moderately satisfied)
CL Item
Very Dissatisfied (Very dissatisfied)
CL Item
Very Satisfied (Very satisfied)
Item
Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner
string
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C25367 (NCI Thesaurus Property)
C62185 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C0518214 (UMLS CUI)
C0036864 (UMLS CUI-2)
C0242428 (UMLS CUI-3)
C0349674 (UMLS CUI-4)
CL.15
Code List
Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner
CL Item
About Equally Satisfied And Dissatisfied (About equally satisfied and dissatisfied)
CL Item
Moderately Dissatisfied (Moderately dissatisfied)
CL Item
Moderately Satisfied (Moderately satisfied)
CL Item
Very Dissatisfied (Very dissatisfied)
CL Item
Very Satisfied (Very satisfied)
Item
Over the past 4 weeks, how do you rate your confidence that you could have and keep an erection
string
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C25367 (NCI Thesaurus Property)
C43367 (NCI Thesaurus Property-2)
C25740 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C0518214 (UMLS CUI)
C0036864 (UMLS CUI-2)
C1704726 (UMLS CUI-3)
C0030847 (UMLS CUI-4)
C0349674 (UMLS CUI-5)
CL.16
Code List
Over the past 4 weeks, how do you rate your confidence that you could have and keep an erection
CL Item
Very Low (Very low)
CL Item
High (High)
C25227 (NCI Thesaurus)
C0205250 (UMLS 2011AA)
CL Item
Low (Low)
C54722 (NCI Thesaurus)
C0205251 (UMLS 2011AA)
CL Item
Moderation (Moderate)
C61376 (NCI Thesaurus)
C1881878 (UMLS 2011AA)
CL Item
Very High (Very high)
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