9452 9999

Sexual Health Inventory for Men (SHIM)

Instructions:

Each question has 5 possible responses. Select the response that best describes your own situation.


 

1. How do you rate your confidence that you could keep an erection?

Very low

Low

Moderate

High

Very High

2. When you had erections with sexual stimulation, how often were your erections hard enough for penetration (entering your partner)?

Almost never or never

A few times (much less than half the time)

Sometimes (about half the time)

Most times (much more than half the time)

Almost always or always

3. During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?

Almost never or never

A few times (much less than half the time)

Sometimes (about half the time)

Most times (much more than half the time)

Almost always or always

4. During sexual intercourse, how difficult was it for you to maintain your erection to completion of intercourse?

Extremely difficult

Very difficult

Difficult

Slightly difficult

Not difficult

5. When you attempted sexual intercourse, how often was it satisfactory for you?

Almost never or never

A few times (much less than half the time)

Sometimes (about half the time)

Most times (much more than half the time)

Almost always or always

SURGERY HOURS

Monday:8.30am - 7.00pm
Tuesday:8.30am to 5.00pm
Wednesday:8.30am to 7.00pm
Thursday:8.30am to 5.00pm
Friday:8.30am to 7.00pm
Sat:9:00 am -11:30 am , 9:00 am - 1:00 pm every other Saturday (alternate)
Sun & Public Holidays:9:00 am - 11:30 am (Sunday & P.H. fees applied)

CONTACT US

Park Medical Group
Unit 2, 779 Albany Highway
East Victoria Park WA 6101
Phone:9452 9999
Fax: 9470 5253

REMINDER SYSTEM

Because our practice is committed to preventative care, we may send you an occasional reminder regarding health services appropriate to your care. If your contact details change kindly inform on of our receptionist.

AFTER HOURS & EMERGENCY

Please phone Perth After Hours Medical Service 1300 000 362 or present yourself to your nearest Emergency Hospital