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911™
About EDGEProcedure®
About The Procedure
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About EDGEProcedure®
About The Procedure
Testimonials
Compare Your Options
About EDGEProcedure®
About The Procedure
Testimonials
Compare Your Options
Is EDGEProcedure® For You?
About EDGEProcedure®
About The Procedure
Testimonials
Compare Your Options
Is EDGEProcedure® For You?
Call (813) 437-5123
Is EDGEProcedure® For You?
Are You A Candidate For The EDGEProcedure®?
Complete this evaluation and our team will contact you soon!
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How often are you able to get an erection during sexual activity?
*
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Never
When you had erections with sexual stimulation, how often were your erections hard enough for penetration?
*
Always
Often
Sometimes
Rarely
Never
When you attempt intercourse, how often are you able to penetrate your partner?
*
Always
Often
Sometimes
Rarely
Never
During sexual intercourse, how often were you able to maintain your erection after you had penetrated your partner?
*
Always
Often
Sometimes
Rarely
Never
During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?
*
Always
Often
Sometimes
Rarely
Never
During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?
*
Always
Often
Sometimes
Rarely
Never
Name
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Last
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By clicking submit, you agree to receive communications from ED911 at the contact provided on this form. Click the following links to view our Privacy Policy and Terms of Service.
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"
*
" indicates required fields
How often are you able to get an erection during sexual activity?
*
Always
Often
Sometimes
Rarely
Never
When you had erections with sexual stimulation, how often were your erections hard enough for penetration?
*
Always
Often
Sometimes
Rarely
Never
When you attempt intercourse, how often are you able to penetrate your partner?
*
Always
Often
Sometimes
Rarely
Never
During sexual intercourse, how often were you able to maintain your erection after you had penetrated your partner?
*
Always
Often
Sometimes
Rarely
Never
During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?
*
Always
Often
Sometimes
Rarely
Never
During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?
*
Always
Often
Sometimes
Rarely
Never
Name
*
First
Last
Email
*
Phone
*
Comments
By clicking submit, you agree to receive communications from ED911 at the contact provided on this form. Click the following links to view our Privacy Policy and Terms of Service.
*
I agree to the privacy policy.
You agree to receive communications from ED911 at the contact provided on this form.
CAPTCHA
