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Full Name *

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Primary reason for male enhancement care *

Desire for improved confidence

Interest in physical improvement

Concern about functional changes

General curiosity

Age category *

Under 20

21-30

31-40

41 -50

51 and above

Interested in non-surgical treatment options *

Yes, non-surgical only

Prefer non-surgical but open to advice

Open to all options

Unsure

Desired results looking for: *

Appearance improvement

Functional support

Long-term results

Overall well-being

Previous experience with any professionals *

No, this is first time

Yes, non-clinical options

Yes, professional treatment

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