A Few Quick Questions
A Few Quick Questions
It would be great if you could answer these quick questions.
DID YOU GO TO YOUR GP OR PHARMACIST TO HELP ADDRESS YOUR ED?
DID YOU GO TO YOUR GP OR PHARMACIST TO HELP ADDRESS YOUR ED?
Yes
No
DID YOU GET VIAGRA?
DID YOU GET VIAGRA?
Yes
No
OK, WHY NOT ?
Please select an option
GP or Pharmacist prescribed another treatment
You requested another treatment
Too expensive
Wasn't available
Wasn't appropriate or needed
OK, WHY NOT ?
Please select an option
Lack of time
Too costly
Embarrassed
Don't think GP can help
ED is not important enough
Terms
*
Terms
I have read and agree to the terms of the
Collection Notice