Symptom Checker Home Page AU

What category are you looking to treat?

Lead Source

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Lead Status

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Lead Method

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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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1

Erectile Dysfunction

2

Premature Ejaculation

3

Erectile Dysfunction and Premature Ejaculation

4

Weight Loss

5

Hormone Restoration

How long has this been a problem for you?

1

Less than 6 months

2

6 to 12 months

3

12 months to 3 years

4

3 years plus

What is your age group?

1

20 to 25 years

2

26 to 35 years

3

36 to 45 years

4

46 to 55 years

5

56 years or older

Do you have trouble maintaining an erection strong enough for penetration?

1

Always

2

Sometimes

3

Never

On a scale of 1 to 10, how weak is your erection?

Are you able to satisfy your partner during sex?

1

Always

2

Sometimes

3

Never

During intimacy, do you feel anxious or fear ejaculating too early?

1

Yes

2

No

Do you avoid intimacy due to fear of embarrasment?

1

Yes

2

No

3

Sometimes

Do you have heart issues?

1

Yes

2

No

Do you have diabetes?

1

Yes

2

No

Do you experience morning erections?

1

Yes

2

No

3

Sometimes

How long has this been a problem for you?

1

Less than 6 months

2

6 to 12 months

3

12 months to 3 years

4

3 years plus

What is your age group?

1

20 to 25 years

2

26 to 35 years

3

36 to 45 years

4

46 to 55 years

5

56 years or older

How quickly are you ejaculating?

1

Under 2 minutes

2

2 to 5 minutes

3

5 to 10 minutes

4

10 minutes plus

Do you suffer from anxiety or depression?

1

Yes

2

No

Do you have any issues with your erection?

1

Yes

2

No

Are you able to satisfy your partner during sex?

1

Yes

2

No

Do you avoid sex due to fear and/or embarrassment?

1

Yes

2

No

Do you have any issues with your erection?

1

Yes

2

No

How long has this been a problem for you?

1

Less than 6 months

2

6 to 12 months

3

12 months to 3 years

4

3 years plus

What is your age group?

1

20 to 25 years

2

26 to 35 years

3

36 to 45 years

4

46 to 55 years

5

56 years or older

What is your primary weight loss goal?

1

5KG

2

10 - 15KG

3

15KG +

What is your weight (kg)?

Please specify an answer

What is your height (cm)?

Please specify an answer

Does your weight impact your confidence, mobility or both?

1

Confidence

2

Mobility

3

Both Confidence and Mobility

4

Neither Confidence nor Mobility

How would you desribe your current activity level?

1

Very active (exercise 4+ times per week)

2

Moderately active (exercise 1–3 times per week)

3

Lightly active (some physical activity, like walking)

4

Mostly sedentary (minimal physical activity)

What is the biggest obstacle to reaching your weight loss goals?

1

Finding time to exercise

2

Difficulty sticking to a diet

3

Low energy or motivation

4

Struggling with food cravings

How many meals or snacks do you typically eat each day?

1

1 - 2

2

3

4 - 5

4

6 +

How often do you experience cravings for sugary or high-calorie foods?

1

Rarely

2

Occasionally

3

Often

4

Very frequently

How much sleep do you typically get each night?

1

8+ hours

2

6 - 7 hours

3

4 - 5 hours

4

Less than 4 hours

What's your preferred approach to weight loss?

1

A structured meal plan

2

An exercise-focused program

3

A flexible approach with small lifestyle changes

4

I’m not sure, I need guidance

How long has this been a problem for you?

1

Less than 6 months

2

6 to 12 months

3

12 months to 3 years

4

3 years plus

What is your age group?

1

20 to 25 years

2

26 to 35 years

3

36 to 45 years

4

46 to 55 years

5

56 years or older

Are your energy levels being affected?

1

Yes

2

No

3

Sometimes

Do you struggle with good sleep?

1

Yes

2

No

3

Sometimes

Do you experience brain fog?

1

Yes

2

No

3

Sometimes

Have you tried treatments previously?

1

Yes

2

No

Are you concerned about your overall health?

1

Yes

2

No

Are you overweight?

1

Yes

2

No

Do you have any blood test results from the last 3 months?

1

Yes

2

No

First name

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Last name

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Email address

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This self assessment is for informational purposes only and not a medical opinion. In an emergency, call your local emergency number. By submitting, you consent to Menova collecting and storing your information to provide the best possible service and confirm you have read our terms and conditions and privacy policy.

What category are you looking to treat?

How long has this been a problem for you?

What is your age group?

Do you have trouble maintaining an erection strong enough for penetration?

On a scale of 1 to 10, how weak is your erection?

Are you able to satisfy your partner during sex?

During intimacy, do you feel anxious or fear ejaculating too early?

Do you avoid intimacy due to fear of embarrasment?

Do you have heart issues?

Do you have diabetes?

Do you experience morning erections?

How long has this been a problem for you?

What is your age group?

How quickly are you ejaculating?

Do you suffer from anxiety or depression?

Do you have any issues with your erection?

Are you able to satisfy your partner during sex?

Do you avoid sex due to fear and/or embarrassment?

Do you have any issues with your erection?

How long has this been a problem for you?

What is your age group?

What is your primary weight loss goal?

What is your weight (kg)?

What is your height (cm)?

How long has this been a problem for you?

What is your age group?

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