Online Pharmacy Delivery Canada

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Erectile Dysfunction Questionnaire

What best describes your situation?

I’m seeking treatment for ED for the first time.

I’m currently taking ED medication but want a new prescription or medication.

I have taken ED medications in the past and I want to start taking them again.

What symptoms have you noticed recently? Please select all that apply.

Difficulty getting an erection.

Difficulty maintaining an erection.

Painful erections.

Premature ejaculation.

Painful orgasms.

Delayed orgasms.

Other (Please explain).

How long have you had these symptoms?

0-6 months

6-12 months

More than 1 year