1.
Which age bracket do you fall into:
2.
How often do you exercise in a week:
3.
How many hours of sleep do you achieve every 24 hours?
4.
Do you often make use of recreational drugs?
6.
How many units of alcohol do you consume in a week?
7.
Please select the health condition you experience:
8.
Are you currently being medicated for any of the previous conditions::
9.
Which best describes your relationship status:
10.
How often do you and your partner engage in intercourse?
11.
How best could you describe that sex life?
12.
Where do you feel it could do with some improvement?
13.
Select if you struggle with any of the following Mental Issues: