Google Quiz Heyflow Form

Our medical team has helped thousands of men with ED and PE. Answer these quick questions to determine if treatment is right for you

1. How long have you suffered from ED or PE?

Less than 6 months

6 to 12 months

12 months to 3 years

3 years +

Lead Source

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Lead Status

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Lead Method

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Treatment Type

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UTM_source

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UTM_medium

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UTM_campaign

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GCLID

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UTM_term

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UTM_content

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3. How long does it take for you to ejaculate?

Under 2 minutes

2 to 5 minutes

5 to 10 minutes

10 minutes +

4. Has ED or PE caused intimacy problems between you and your partner?

Yes

5. ED or PE can affect men of all ages. What is your age group?

6. Have you been diagnosed with diabetes or high blood pressure?

Type 1 Diabetes

Type 2 Diabetes

High Blood Pressure

None Of The Above

7. Do you have a heart condition?

Yes

8. How often can you achieve a morning erection?

Always

Sometimes

Never

Based on your answers, you may have an issue.

Enter your details to receive your free report and find out what is working for other men 2025

First name

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Last name

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Phone number

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1. How long have you suffered from ED or PE?

2. What is the strength of your erection from a scale of 0-10?

3. How long does it take for you to ejaculate?

4. Has ED or PE caused intimacy problems between you and your partner?

5. ED or PE can affect men of all ages. What is your age group?

6. Have you been diagnosed with diabetes or high blood pressure?

7. Do you have a heart condition?

8. How often can you achieve a morning erection?

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