O-Shot Female Sexual Distress Scale

Female Sexual Distress Scale - Revised
Name*

First NameLast Name
Date

MonthDayYear
Date
Below is a list of feelings and problems that men and women sometimes have concerning their sexuality.

Please read each item carefully, and check the box that best describes how often that problem has bothered you or caused distress over the last 4 weeks including today. Please check only one box for each item, and take care not to skip ANY items.
1. How often did you feel distressed about your sex life?*

0 Never1 Rarely2 Occasionally3 Frequently4 Always
2. How often did you feel unhappy about your sexual relationship?*

0 Never1 Rarely2 Occasionally3 Frequently4 Always
3. How often did you feel guilty about your sexual difficulties?*

0 Never1 Rarely2 Occasionally3 Frequently4 Always
4. How often did you feel frustrated by your sexual problems?*

0 Never1 Rarely2 Occasionally3 Frequently4 Always
5. How often did you feel stressed about sex?*

0 Never1 Rarely2 Occasionally3 Frequently4 Always
6. How often did you feel inferior because of sexual problems?*

0 Never1 Rarely2 Occasionally3 Frequently4 Always
7. How often did you feel worried about sex?*

0 Never1 Rarely2 Occasionally3 Frequently4 Always
8. How often did you feel sexually inadequate?*

0 Never1 Rarely2 Occasionally3 Frequently4 Always
9. How often did you feel regrets about your sexuality?*

0 Never1 Rarely2 Occasionally3 Frequently4 Always
10. How often did you feel embarrassed about sexual problems?*

0 Never1 Rarely2 Occasionally3 Frequently4 Always
11. How often did you feel dissatisfied with your sex life?*

0 Never1 Rarely2 Occasionally3 Frequently4 Always
12. How often did you feel angry about your sex life?*

0 Never1 Rarely2 Occasionally3 Frequently4 Always
13. How often did you feel bothered by low desire?*

0 Never1 Rarely2 Occasionally3 Frequently4 Always
Thank you for completing this survey. Your responses are confidential and an important part of your medical record.
Total Score
Thank you for completing this survey. Your responses are confidential and an important part of your medical record.

© American Foundation for Urologic Disease, Inc.
From DeRogatis L, Clayton A, Lewis-D’Agostino D, Wunderlich G, Fu Y. Validation of the female sexual distress scale-revised for assessing distress in women with hypoactive sexual desire disorder. J Sex Med. 2008 Feb;5(2):357-64.
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Female Sexual Distress Scale - Revised