Thank you

How long have you been trying for pregnancy? ^*

1-2 year or more

3-4 years

More than 4-5 years

Not trying yet

Have you ever tested your sperm health?^*

Yes

No

Planning to test soon

Has any doctor told you about these issues?^*

Low sperm count

Poor sperm motility

Hormonal imbalance

Never tested before

Do you experience any of these problems? ^*

Sexual weakness

Early ejaculation

Low sexual desire

Difficulty in erection

None

Do you smoke, drink alcohol, or have a high-stress lifestyle? ^*

Yes, regularly

Sometimes

No

Would you like to consult a doctor to understand your fertility condition and improve sperm health?^*

Yes, I want doctor consultation

Yes, I need guidance for improving fertility

I would like to know more first

Name^*

Phone^*

Default question^*

Option 1

Option 2

Option 3