Welcome to GAINSWave Eligibility Quiz! We are about to ask you a few simple questions to find out if GAINSWave® is right for you. We value your privacy and your desire to know if this therapy is appropriate for your individual sexual wellness goals. The answers you provide will be collected but not shared outside our office and authorized GAINSWave® medical providers. Click NEXT to get started! What is your age? 25 - 34 35 - 50 51 - 65 65+ None How's your sex life? Amazing Can't complain Could be better Nonexistent None How's your ability to get and maintain erections? Excellent Good Fair Low Can't ever get it up None Do you have a medical condition or take medications that affect sexual performance? Yes No Don't know Prefer not to answer at this time None Have you tried other treatments for Erectile Dysfunction (ED)? Yes No None Did other Erectile Dysfunction (ED) treatments work? Yes Worked somewhat Didn't work None How would improving your ability to get and maintain erections affect your life? It would be life changing It would improve my life a lot It would make my life a little more fulfilling It wouldn't change anything None If you knew there was a treatment that could significantly improve your ability to get and maintain erections, how motivated would you be to follow through with it? Very motivated! I'd try my best. I'd give it a try but I have little trust. If I see the results right away, I might continue. Not very motivated. Just looking around. None Captcha. Enter the following text You are done! To ensure privacy, we'll send you results via email. Your First Name Your Email Phone I agree to receive the results of this evaluation and other communication from CT Hormone Therapy and Integrative MD via email. Time's up
