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Sexual Dysfunction Questionnaire DATE: PatientName: PT.DOB: MaleQuestionnaire Pleasecirclethenumberthatbestdescribesyoursexlife. PleasepickONE answer. Note:thefollowingquestionsrelatetothelast6months.
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Fill in your personal information accurately, including your full name, date of birth, and contact details.
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Proceed to answer each question in the questionnaire one by one. Take your time to consider each question carefully and provide honest and insightful responses.
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It is a document used to gather information about males.
Males above a certain age are required to file this document.
The form can be filled out manually or electronically, following the instructions provided.
The purpose is to collect demographic information and statistics about males.
Information such as age, occupation, and contact details may need to be reported.
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