Quiz | Edin Vitality

Take the First Step Toward Restoring Confidence – Start Your Assessment Today.

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Step 1 of 16

Are you frustrated by your quality of erection?*

Yes. I don't respond to oral ED pills like before

I want to last longer in the bedroom

I have side effects from oral ED meds

I’m just researching for now

All of the above

Our doctors perform hundreds of procedures each year, so you can feel confident you’re in the best hands. Your privacy always comes first (all communication is HIPAA-compliant). Just reply “Yes” to be connected with your personal Concierge Coordinator—here to answer your questions and guide you every step of the way. Reply “No” anytime to opt out.*

Yes

Has erectile dysfunction (ED) affected your overall happiness or relationship satisfaction?*

Yes

How long have you been experiencing ED?*

Less than 6 months

6-12 months

1-3 years

3+ years

Which of the following situations best matches how satisfied you feel with your erections?*

I have difficulty achieving and keeping a firm erection.

I can get firm with oral ED medication, but I lose the erection quickly.

I am unable to get an erection with oral ED medications; I require injections.

I have been unable to achieve a firm erection for over 6 months, which negatively impacts my daily life and well-being.

Only a penile prosthesis can bring back my sexual function and confidence.

Do you experience limited results or side effects from ED pills?*

Yes

Have you noticed loss of length and girth as result of ED?*

Yes

Not sure

Did you know that more than 95% of men with a penile prosthesis — and 98% of their partners — report not only high satisfaction but also a more fulfilling love life?*

Yes

Did you know? With a penile prosthesis, it’s your own penis—intact sensation, orgasm, and pleasure—with the ability to enjoy unlimited, firm, lasting intimacy.*

Yes

Are you aware that penile prosthesis surgery yields the best results and recovery when done by a high-volume, experienced surgeon?*

Yes

What is most important to you in choosing a penile implant surgeon for this journey?*

Experience

Reputation

Volume of surgeries per year

Must be located in my town, even with less experience

US Health insurance providers are increasingly denying coverage for penile prosthesis surgery. For this reason, many of our patients choose to move forward on a self-pay basis, ensuring privacy, timely care, and access to the best surgeons. In the event insurance does not provide coverage, are you willing to explore our self-pay or financing options to ensure timely, private, and high-quality care?*

Out of Pocket

Financing

Insurance only (I will give up if they deny it)

Which geographical area would you prefer for your Top Edin Penile Prosthesis Master Surgeon? We’ll connect you with priority VIP access. Edin Concierge experience is only through Edin Vitality access. (you may choose more than one)*

Mid Atlantic (Washington DC/Northern VA) - Dr. Kambiz Tajkarimi

Upper Northeast (New York) - Dr. Robert Valenzuela

Midwest (Chicago) - Dr. Laurence Levine

South Florida (Miami) _ Dr. Paul Perito

Southwest (Arizona) - Dr. Sean Blick

Southeast (Carolinas) _ Dr. Robert Jansen

Texas (Austin) _ Dr. Bryan Kansas

South (Louisiana) _ Dr. Gerald Henry

Puerto Rico (San Juan) _ Dr. Andres Perez Roman

Would you like to schedule a discreet consultation to find out if a penile prosthesis could be the right option for you?*

Yes

How would you prefer our Edin Concierge Team to initiate contact with you?*

Telephone

Texting

First Name*

Last Name*

Email*

Phone Number*

Age*

State / Country if other than US*

Please share any additional details about your health, treatment goals, or concerns. This is a great place to describe your needs to our Edin Surgeons

Edin Vitality is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:

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I agree to receive other communications from Edin Vitality.

I agree to receive marketing SMS messages from Edin Vitality at the number provided. Msg&data rates may apply. Msg frequency varies. Unsubscribe at any time by replying STOP. Reply HELP for help.

You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy and Terms of Service.

Welcome to Edin Vitality

Thank you for taking this important step toward changing your life. At Edin Vitality, our mission is simple — to help men restore confidence, performance, and quality of life through proven medical solutions.

Please save our contact numbers in your phone so we can reach you easily.
Here are the numbers: 703-783-2346, 703-337-3353
We look forward to speaking with you soon, understanding your goals, and guiding you every step of the way.

We’re honored to serve you — and ready to help solve your problem for good.

Warm regards,
Dr. Kambiz Tajkarimi
Founder, Edin Vitality

Know your options. Take back control of your intimacy.

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