We'd like to ask you some questions about your health and experience of erectile
dysfunction, in order to assess if treatment is appropriate for you.
One of our UK GMC registered doctors will review your answers and we will be in touch
shortly if the medication is suitable.
This questionnaire will take you about 5 minutes to complete.
By clicking “Get Started”, you are confirming that you:
1. Are completing this questionnaire for yourself and to the best of your knowledge.
2. Are experiencing some form of erectile dysfunction.
3. Will disclose any serious illnesses or operations you have had.
4. Will disclose any prescription medication you currently take.
5. Will only use one method of Erectile Dysfunction treatment at a time and will not combine more than one different medication for the condition.
Consent to our Terms & Conditions and for us to contact you using your contact details.
Unfortunately we cannot provide a prescription through this service as you may require further assessment, please contact your GP for advice or book an appointment with one of our GPs.
You should not take any other Erectile Dysfunction treatments alongside any treatments from Rainbow.
If you are currently taking Viagra/Sildenafil or Cialis/Tadalafil from elsewhere, you would need to discontinue that medication when starting a course of treatment from Rainbow.
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