Essential Men's Clinic
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Erectile Dysfunction Online Test 


​This is a validated questionnaire to help identify men who have a problem with Erectile Dysfunction.
Please select the response that best represents your answer for each of the questions below. While your experiences may change from time to time, what we need to know is your general experience with intercourse.

These Online Tests are simple questionnaires that are submitted to our Doctors to see if Essential Men's Clinic has a solution that is right for you. They are obligation free and absolutely confidential. 
    The IIEF-5 (International Index of Erectile Function-5) is an international questionnaire for identifying Erectile Dysfunction. These questions ask about the effects your erection problems have had on your sex life, over the past 4 weeks. Please answer the following questions as honestly and clearly as possible.

    Find out if we can help you. Please give us further information and our Doctor will respond to you within 24 hours.

Submit

Our Doctors will respond within 24 hours to your submission from your given email address. 
Your personal details will remain confidential and not disclosed to any third parties. 
You have the right to view, change or delete this information on request. 
This questionnaire is not comprehensive, and does not replace a full history and physical examination and further information may be necessary on follow-up. 
​Due diligence will be exercised for making a thorough assessment.


Picture
Face Aesthetics
Wrinkle
Dermal Filler
Dermaroller
IPL-Intense Pulse Light

Mole Removal
Body Aesthetics
Excessive Sweating 
Dermaroller
IPL-Intense Pulse Light
Mole Removal
Hair Growth
Pharmaceutical

Man Up Health Check
Man Up

​Men's Corner
P Shot® or Priapus Shot®
Sexual Problems
Ejaculatory Problems
Erectile
Dysfunction

Premature Ejaculation
Peyronie's Disease

      Essential Men's Clinic 
    Copyright MML 2019
  • Home
  • Priapus Shot®
    • Research Articles Papers >
      • Is the P-Shot FDA Approved - Essential Mens Clinic
    • Extracorporeal Shock Wave Therapy
  • Online Tests
    • P-Shot® - Erectile Dysfunction
    • Extracorporeal Shock Wave Therapy ED
    • Erectile Dysfunction
    • Premature Ejaculation
    • Cosmetic Medicine
    • Hair Growth Program
    • Sweating Reduction
    • Privacy Policy
  • Our Services
    • Mens Sexual Wellness
    • Cosmetic Aesthetics
    • Body Aesthetics
    • Surgical Procedures
    • Hair Regrowth
    • Sweating Reduction
    • Tattoo Removal
    • Skincare Products
  • About Us
  • Contact Us
  • Frequently Asked Questions
    • Ask A Question
    • Wrinkle Treatment
    • Dermal Filler
    • Dermaroller
    • Hair Growth Program
    • Sweating Reduction
    • Erectile Dysfunction
    • P Shot® or Priapus Shot® >
      • P-Shot® Data Information
    • Peyronie's Disease
    • Premature Ejaculation
  • Lifestyle Peter Minkoff
  • Blog Dr Mark Morunga
    • New Zealand Media