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Answer a few simple questions about your general health and medical history to ensure your doctor has enough information to prescribe you the right medication. They will also give you a quick call to discuss your specific circumstances.

The questionnaire usually takes around 10 minutes. If you’re logged in, your progress is saved automatically, so you can leave and come back at any time.

By clicking “I Agree” you confirm that you:

  • are biologically male
  • are answering this questionnaire to the best of your knowledge
  • are not completing this questionnaire on behalf of anybody but yourself and the medication prescribed is for your own use
  • are accepting our Terms and Conditions and Privacy Policy

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