Please complete the following medical questionnaire to obtain your custom-tailored protocol from the medical team at Rock Hard Science.

Your first name:

Your last name:

Your email:

With a score of 1 to 5, please rate each of the following questions.

How do you rate your confidence that you could get and keep an erection?*
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When you had erections with sexual stimulation, how often were your erections hard enough for penetration (entering your partner)? *
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During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?*
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During sexual intercourse how difficult was it to maintain your erection to completion of intercourse?*
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When you attempted sexual intercourse, how often was it satisfactory for you?*
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YOUR SCORE: [calculator calculator-815 “radio-1 + radio-2 + radio-3 + radio-4 + radio-5”]