1 ✓ About You Step 1 of 5: About You 2 ✓ Health Status Step 2 of 5: Health Status 3 ✓ Lifestyle Step 3 of 5: Lifestyle 4 ✓ Goals Step 4 of 5: Goals 5 ✓ Summary Step 5 of 5: Summary About 6 minutes ED Treatment Assessment Answer a few confidential questions to get personalized ED treatment recommendations. What You'll Get: ✓ Five-Engine Health Score Comprehensive evaluation across five health dimensions ✓ Personalized Recommendations Tailored treatment options based on your results ✓ Real-Time Insights See your health baseline as you complete the assessment About 6 minutes to complete HIPAA-compliant & secure Start Assessment → Question 1 What is your gender? * FEMALE MALE Back Continue Question 2 What is your date of birth? * Month Month January February March April May June July August September October November December Day Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year Year 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 Back Continue Question 3 What is your height and weight? * Height ft in Weight lbs Back Continue Question 4 How would you describe your ability to achieve and maintain an erection sufficient for satisfactory sexual performance? * Almost always or always Usually (more than half the time) Sometimes (about half the time) Rarely or never Back Continue Continue Assessment → Question 5 How would you rate your sexual desire and libido? * Excellent - High sexual desire Good - Normal sexual desire Moderate - Somewhat reduced desire Low - Significantly reduced desire Very Low - Minimal sexual desire Back Continue Question 6 Have you been diagnosed with any of the following medical conditions? * Diabetes (Type 1 or Type 2) Heart Disease High Blood Pressure High Cholesterol Obesity Prostate Issues Thyroid Disorders None of the above Back Continue Question 7 How would you describe your current stress levels? * Very Low - I rarely feel stressed Low - I experience minimal stress Moderate - I experience some stress but manage it well High - I frequently feel stressed and overwhelmed Very High - I feel constantly stressed and struggle to cope Back Continue Question 8 How would you describe your relationship satisfaction? * Excellent - Very satisfied with relationship Good - Generally satisfied Moderate - Some relationship issues Poor - Significant relationship problems Very Poor - Major relationship issues Back Continue Continue Assessment → Question 9 How would you describe your sleep quality? * Excellent - Deep, restorative sleep every night Good - Generally restful sleep most nights Moderate - Some sleep issues but mostly restful Poor - Frequent sleep problems affecting daily life Very Poor - Severe sleep issues Back Continue Question 10 How would you describe your overall cardiovascular health? * Excellent - No cardiovascular issues Good - Minor cardiovascular concerns Moderate - Some cardiovascular issues Poor - Significant cardiovascular problems Very Poor - Severe cardiovascular issues Back Continue Question 11 How would you rate your overall ED treatment readiness? * Excellent - Ready for comprehensive treatment Good - Ready for treatment with some concerns Moderate - Somewhat ready for treatment Poor - Not very ready for treatment Very Poor - Not ready for treatment Back Continue Question 12 Select any symptoms you are experiencing: Low sex drive Low energy or fatigue Depression or mood issues Performance anxiety High stress levels Poor circulation Blood sugar issues High blood pressure Sleep problems Muscle weakness None of the above Back Continue Continue Assessment → Question 13 Enhance Results with Visual Analysis (Optional) Enhance Results with Visual Analysis (Optional) Upload a photo for AI-powered visual health analysis HIPAA Protected Medical Images Your medical photos are encrypted, stored securely, and protected under HIPAA. Images are analyzed by AI and immediately encrypted—they are never stored unprotected or shared with third parties. Please upload a clear, well-lit photo of your face for visual health assessment. Drag & drop your photo here, or click to browse JPEG, PNG, or WebP • Max 20MB × No problem! You can skip this step and add photos later from your dashboard. Back Continue Question 14 Enhance Results with Your Location (Optional) Enhance Results with Your Location (Optional) Enable precise location for enhanced results HIPAA Protected Your location data is protected under HIPAA and used only to provide locally-relevant health insights. We never share your precise location with third parties. Enable to share your precise location Share My Location Your browser will ask for permission Can't access your location? Enter your zip code instead: Confirm No problem! You can still complete your assessment. We'll use approximate location based on your connection. Back Continue Question 15 Add lab results (optional) Add lab results (optional) Optional: attach a lab PDF to enrich your assessment HIPAA Protected & Encrypted Your lab results are encrypted with AES-256 and protected under HIPAA. Only authorized healthcare providers can access your data. Your PDF is processed securely and never stored unencrypted. Upload a LabCorp or Quest Diagnostics PDF if you have one. We extract reported values and attach them to your assessment for richer context. Choose PDF or drag here LabCorp Quest Diagnostics PDF files up to 10MB No problem! You can skip this step and add lab results later from your dashboard. Back Continue Create Your Account We'll personalize your results and send them to you. First Name * Last Name * Email Address * Phone Number For appointment scheduling (optional) I agree to the Terms of Service and Privacy Policy We'll email you a secure link to access your results anytime — no password needed. After you submit, you'll see your results immediately. ← Back Submit Assessment ×
