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Checkout (Step 2) - Patient's Details & Doctor's Questions

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Do you suffer from Erectile Dysfunction?	Yes No
Do you suffer from Low Blood Pressure?	Yes No
Do you suffer from High Blood Pressure?	Yes No
Do you suffer from any Bleeding Disorders?	Yes No
Do you suffer from Stomach Ulcers?	Yes No
Do you suffer from Cancer of the Blood or Bones?	Yes No
Do you suffer from Liver Tumors?	Yes No
Do you suffer from Heart Attack / Failure problems?	Yes No
Do you suffer from Poor Kidney Function?	Yes No
Do you suffer from Blood Clots?	Yes No
Do you suffer from deformity or disease of the Penis?	Yes No