We're glad you've decided to take the next step towards improved health and wellness. Prior to completing our Male Questionnaire, we recommend to have your recent medical records including dates for any completed examinations or tests. For your security, all provided information will be encrypted upon submission and transit.

Special Telemedicine Promotion

At the end of your questionnaire, we are offering a limited-time special for pre-paying your initial consultation with Dr. Krup. Regularly $195.00, you can pre-pay with a credit or debit card for $50.00 and save $145.00 off our normal fee.

The estimated time required to complete this survey is 15-20 minutes.