During the last 4 weeks,

Not at all

A little

Quite a bit

Very much

Q49

Have you felt less masculine as a result of your illness or treatment? (Masculinity)

1

2

3

4

Q50

To what extent were you interested in sex? (Libido)

1

2

3

4

Q51

To what extent were you sexually active (with or without intercourse)? (Activity)

1

2

3

4

Please answer the next question only if you have been sexually active over last 4 weeks,

Q53

Did you have difficulty getting or maintaining an erection? (Potency)

1

2

3

4