This is a comprehensive survey to help us understand issues affecting the partners of men with erectile dysfunction.

The survey will take about 10 minutes to complete. Questions with asterisks are required. Please make sure you have enough time to finish the survey prior to starting, because incomplete surveys must be invalidated.

Your responses to this survey are anonymous!

The overall results of this survey will be shared with the medical community, and will be used to provide information, resources, and support for men with Erectile Dysfunction.

We hope that you will take the time to complete this important survey. We are happy to share the results with those who participate.

Thank you!

Question Title

* 1. Does your spouse or partner currently suffer from Erectile Dysfunction