Female Sexual Function Index
(FSFI) *
Response Options
1 = Almost always or always
Question
Q1: Over the past 4 weeks, how often did
you feel sexual desire or interest?
2 = Most times (more than half the time)
3 = Sometimes (about half the time)
4 = A few times (less than half the time)
5 = Almost never or never
1 = Very high
Q2: Over the past 4 weeks, how would you
rate your level (degree) of sexual desire or
interest? 2 = High
3 = Moderate
4 = Low
5 = Very low or none at all
0 = No sexual activity
Q3: Over the past 4 weeks, how often did
you feel sexually aroused (“turned on”) during
sexual activity or intercourse? 1 = Almost always or always
2 = Most times (more than half the time)
3 = Sometimes (about half the time)
4 = A few times (less than half the time)
5 = Almost never or never
0 = No sexual activity
Q4: Over the past 4 weeks, how would you
rate your level of sexual arousal (“turn on”)
during sexual activity or intercourse? 1 = Very high
2 = High
3 = Moderate
4 = Low
5 = Very low or none at all
0 = No sexual activity
Q5: Over the past 4 weeks, how confident
were you about becoming sexually aroused
during sexual activity or intercourse? 1 = Very high confidence
2 = High confidence
3 = Moderate confidence
4 = Low confidence
5 = Very low or no confidence
0 = No sexual activity
Q6: Over the past 4 weeks, how often have you
been satisfied with your arousal (excitement)
during sexual activity or intercourse? 1 = Almost always or always
2 = Most times (more than half the time)
3 = Sometimes (about half the time)
4 = A few times (less than half the time)
5 = Almost never or never
0 = No sexual activity
Q7: Over the past 4 weeks, how often did
you become lubricated (“wet”) during sexual
activity or intercourse? 1 = Almost always or always
2 = Most times (more than half the time)
3 = Sometimes (about half the time)
4 = A few times (less than half the time)
5 = Almost never or never
0 = No sexual activity
Q8: Over the past 4 weeks, how difficult
was it to become lubricated (“wet") during
sexual activity or intercourse? 1 = Extremely difficult or impossible
2 = Very difficult
3 = Difficult
4 = Slightly difficult
5 = Not difficult
0 = No sexual activity
Q9: Over the past 4 weeks, how often did you
maintain your lubrication (“wetness”) until
completion of sexual activity or intercourse? 1= Almost always or always
2 = Most times (more than half the time)
3 = Sometimes (about half the time)
4 = A few times (less than half the time)
5 = Almost never or never
0 = No sexual activity
Q10: Over the past 4 weeks, how difficult was
it to maintain your lubrication (“wetness”) until
completion of sexual activity or intercourse? 1 = Extremely difficult or impossible
2 = Very difficult
3 = Difficult
4 = Slightly difficult
5 = Not difficult
0 = No sexual activity
Q11: Over the past 4 weeks, when you had
sexual stimulation or intercourse, how
often did you reach orgasm (climax)? 1 = Almost always or always
2 = Most times
3 = Sometimes (about half the time)
4 = A few times (less than half the time)
5 = Almost never or never
0 = No sexual activity
Q12: Over the past 4 weeks, when you had
sexual stimulation or intercourse, how
difficult was it for you to reach orgasm
(climax)?
1 = Extremely difficult or impossible
2 = Very difficult
3 = Difficult
4 = Slightly difficult
5 = Not difficult
0 = No sexual activity
Q13: Over the past 4 weeks, how satisfied
were you with your ability to reach orgasm
(climax) during sexual activity or intercourse? 1 = Very satisfied
2 = Moderately satisfied
3 = About equally satisfied and dissatisfied
4 = Moderately dissatisfied
5 = Very dissatisfied
0 = No sexual activity
1 = Very satisfied
Q14: Over the past 4 weeks, how satisfied
have you been with the amount of emotional
closeness during sexual activity between you
and your partner?
2 = Moderately satisfied
3 = About equally satisfied and dissatisfied
4 = Moderately dissatisfied
5 = Very dissatisfied
1= Very satisfied
Q15: Over the past 4 weeks, how satisfied
have you been with your sexual relationship
with your partner? 2 = Moderately satisfied
3 = About equally satisfied and dissatisfied
4 = Moderately dissatisfied
5 = Very dissatisfied
1 = Very satisfied
Q16: Over the past 4 weeks, how satisfied
have you been with your overall sexual life?
2= Moderately satisfied
3 = About equally satisfied and dissatisfied
4 = Moderately dissatisfied
5 = Very dissatisfied
0 = Did not attempt intercourse
Q17: Over the past 4 weeks, how often
did you experience discomfort or pain
during vaginal penetration? 1 = Almost always or always
2 = Most times (more than half the time)
3 = Sometimes (about half the time)
4 = A few times (less than half the time)
5 = Almost never or never
0 = Did not attempt intercourse
Q18: Over the past 4 weeks, how often did
you experience discomfort or pain following
vaginal penetration? 1 = Almost always or always
2 = Most times (more than half the time)
3 = Sometimes (about half the time)
4 = A few times (less than half the time)
5 = Almost never or never
0 = Did not attempt intercourse
Q19: Over the past 4 weeks, how would you
rate your level (degree) of discomfort or
pain during or following vaginal penetration? 1 = Very high
2 = High
3 = Moderate
4 = Low
5 =Very low or none at all
Scoring System
The individual domain scores and full scale score of the FSFI are derived by the computational formula
outlined in the table below. Individual domain scores are obtained by adding the scores of the individual
items that comprise the domain and multiplying the sum by the domain factor (see below). The full scale
score is obtained by adding the six domain scores. It should be noted that within the individual domains,
a domain score of zero indicates that no sexual activity was reported during the past month.
Domain Questions Score range Factor Minimum score Maximum score
Desire 1, 2 1-5 0.6 1.2 6.0
Arousal 3, 4, 5, 6 0-5 0.3 0 6.0
Lubrication 7, 8, 9, 10 0-5 0.3 0 6.0
Orgasm 11, 12, 13 0-5 0.4 0 6.0
Satisfaction 14, 15, 16 0 (or 1)-5 0.4 0 6.0
Pain 17, 18, 19 0-5 0.4 0 6.0
Full Scale Score Range 2.0 36.0
*For the complete FSFI questionnaire, instructions, and scoring algorithm, please see
www.FSFIquestionnaire.com, or contact Raymond Rosen PhD, (Department of Psychiatry:
UMDNJ-Robert Wood Johnson Medical School, 675 Hoes Lane, Piscataway, NJ 08854)
Reprinted from: Rosen R, Brown C, Heiman J, et al. The Female Sexual Function Index (FSFI): a
multidimensional self-report instrument for the assessment of female sexual function.” J Sex
Marital Ther. 2000;26:191-208, with permission of Taylor & Francis, Ltd.