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1.

Over the past 6 months, how confident have you been in your ability to maintain an erection?

Not at all confident Slightly confident Moderately confident Very confident Extremely confident

2.

Over the past 6 months, when you had erections with sexual stimulation, how often were your erections firm enough for penetration?

Almost never or never A few times (much less than half the time) Sometimes (about half the time) Most of the time (much more than half the time) Almost always or always

3.

Over the past 6 months, during sexual intercourse, how often were you able to maintain your erection after penetrating your partner?

Almost never or never A few times (much less than half the time) Sometimes (about half the time) Most of the time (much more than half the time) Almost always or always

4.

Over the past 6 months, during sexual intercourse, how difficult was it to maintain your erection until the end of intercourse?

Extremely difficult Very difficult Difficult Slightly difficult Not difficult

5.

Over the past 6 months, when you attempted sexual intercourse, how often was it satisfactory for you?

Almost never or never A few times (much less than half the time) Sometimes (about half the time) Most of the time (much more than half the time) Almost always or always

Based on your answers, we’ll provide you with personalized treatment options and send them directly to your email.

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