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* 1. What is your age range?

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* 2. How often do you have sex?

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* 3. Rate the quality of your orgasms from 0 - 5 where 0 = not at all/never and 5 = toe curling fireworks

i We adjusted the number you entered based on the slider’s scale.

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* 4. Are you aware of the benefits that women gain from experiencing orgasms?

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* 5. Would you be interested in improving the quality of orgasms?

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* 6. Does your significant other struggle with Erectile Dysfunction (E.D.)?

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* 7. All the information obtained from this survey is completely anonymous and confidential.  However, if you'd like to learn more about our treatments or have questions, we'd love to speak with you.  Please call our office at (770) 675-3609 or provide your contact info below.

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