We're going to ask you some brief questions about your health and history with erectile dysfunction in order to assess if a prescription is appropriate for you.

By clicking on “Continue” you are confirming that you:

  • are biologically male and experiencing some form of erectile dysfunction
  • are answering this questionnaire to the best of your knowledge
  • are not completing this questionnaire on behalf of anybody but yourself and the medication prescribed will be for your own use
  • are accepting our Terms & Conditions