Questionnaire - Page 6(a) of 9
(1015 maximum possible questions)		 Last updated: Oct 09, 2008

THE ANALYST TM
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This section is about Male Reproductive organ problems.
642.  Do you experience any genital itching?
Don't know
No
Past problem only
Minor / occasional itching
Major / frequent itching
643.  Do you have epididymitis?
Don't know
No
Historical problem only
Acutely
Chronically
644.  Have you been diagnosed with Peyronie's disease?
No / don't know
Yes, mild
Yes, serious
645.  Are one or both testes enlarged / swollen beyond their normal size?
Don't know
No
In the past only
One only
Both enlarged
646.  Are one or both testicles painful?
Don't know
No
One acutely
One chronically
Both are painful

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