{"id":1574,"date":"2024-08-06T02:49:27","date_gmt":"2024-08-06T02:49:27","guid":{"rendered":"https:\/\/drbogdangusanu.ro\/?page_id=1574"},"modified":"2025-03-22T08:46:48","modified_gmt":"2025-03-22T08:46:48","slug":"formular-de-evaluare-ejaculare-prematura","status":"publish","type":"page","link":"https:\/\/drbogdangusanu.ro\/en\/formular-de-evaluare-ejaculare-prematura\/","title":{"rendered":"Formular de evaluare ejaculare prematura"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1574\" class=\"elementor elementor-1574\">\n\t\t\t\t<div class=\"elementor-element elementor-element-552b75e e-flex e-con-boxed e-con e-parent\" data-id=\"552b75e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-04354c6 e-con-full e-flex e-con e-child\" data-id=\"04354c6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-eeb99b7 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"eeb99b7\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:&quot;200&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Doctor Bogdan Gu\u0219anu<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0ba9f7b elementor-widget elementor-widget-heading\" data-id=\"0ba9f7b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><a href=\"http:\/\/www.ro-boost.ro\">CLINICA RO-BOOST<\/a><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-54ae74b e-flex e-con-boxed e-con e-parent\" data-id=\"54ae74b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-aab14ee e-con-full e-flex e-con e-child\" data-id=\"aab14ee\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a0289ab elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"a0289ab\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;zoomIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Formular de evaluare<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-175319f elementor-widget elementor-widget-text-editor\" data-id=\"175319f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Completati cu foarte mare atentie formularul de evaluare.<\/li><li>Acest formular nu este facut pentru a diagnostica nicio boala pe care o aveti.<\/li><li>Dupa ce formularul dvs. este evaluat, se decide daca sunteti potrivit pentru program.<\/li><li>Dupa completarea formularului, nu uitati sa apasati butonul\u00a0<strong>TRIMITE<\/strong>.<\/li><li>Dupa ce formularul ajunge la noi, vom raspunde in termen de 1-3 zile lucratoare.<\/li><li>Raspunsul va fi trimis la adresa de e-mail pe care o furnizati. Prin urmare,\u00a0<strong>verificati adresa dvs. de e-mail si asigurati-va ca este corecta.<\/strong><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-52b50d8 e-flex e-con-boxed e-con e-parent\" data-id=\"52b50d8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fcc9aa6 elementor-widget elementor-widget-wpforms\" data-id=\"fcc9aa6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container \" id=\"wpforms-1562\"><form id=\"wpforms-form-1562\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1562\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/1574\" data-token=\"e6d4bd8329f19c1c353ce3589fa6dd30\" data-token-time=\"1777510882\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1562-field_1-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_1\">Nume - Prenume <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_2\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_3-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_3\">Telefon <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_4-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_4\">Anul Nasterii <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_5-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_5\">Inaltime \/ Greutate <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/textarea><div class=\"wpforms-field-description\">cm\/kg<\/div><\/div><div id=\"wpforms-1562-field_6-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_6\">Oras <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_7-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_7\">Care este afectiunea ta sexuala si cand a inceput? Explica pe scurt. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_8-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_8\">Care au fost diagnosticele facute cu privire la aceasta afectiune, tratamentele pe care le-ai primit si momentul acestora? Sau tu ce metode folosesti? Explica pe scurt. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_10-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"10\"><label class=\"wpforms-field-label\">Cum sunt obiceiurile tale alimentare? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_10_1\" name=\"wpforms[fields][10]\" value=\"Sunt atent\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_10_1\">Sunt atent<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_10_2\" name=\"wpforms[fields][10]\" value=\"Nu dau atentie\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_10_2\">Nu dau atentie<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_10_3\" name=\"wpforms[fields][10]\" value=\"Dezorganizat si nesanatos\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_10_3\">Dezorganizat si nesanatos<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_11-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"11\"><label class=\"wpforms-field-label\">Cum este stilul tau de viata? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_11\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_11_1\" name=\"wpforms[fields][11]\" value=\"Sedentar\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_11_1\">Sedentar<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_11_2\" name=\"wpforms[fields][11]\" value=\"Semi-activ\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_11_2\">Semi-activ<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_11_3\" name=\"wpforms[fields][11]\" value=\"Fac sport\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_11_3\">Fac sport<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_12-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Fumezi? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_12_1\" name=\"wpforms[fields][12]\" value=\"Nu\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_12_1\">Nu<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_12_2\" name=\"wpforms[fields][12]\" value=\"Da, zilnic\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_12_2\">Da, zilnic<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_12_3\" name=\"wpforms[fields][12]\" value=\"Periodic (1-10 tigari pe saptamana)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_12_3\">Periodic (1-10 tigari pe saptamana)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_12_4\" name=\"wpforms[fields][12]\" value=\"Periodic (10-20 tigari pe saptamana)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_12_4\">Periodic (10-20 tigari pe saptamana)<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_13-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"13\"><label class=\"wpforms-field-label\">Consumi alcool? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_13\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_13_1\" name=\"wpforms[fields][13]\" value=\"Nu\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_13_1\">Nu<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_13_2\" name=\"wpforms[fields][13]\" value=\"1-2 ori pe an\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_13_2\">1-2 ori pe an<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_13_3\" name=\"wpforms[fields][13]\" value=\"o data pe luna\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_13_3\">o data pe luna<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_13_4\" name=\"wpforms[fields][13]\" value=\"o data pe saptamana\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_13_4\">o data pe saptamana<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_13_5\" name=\"wpforms[fields][13]\" value=\"de doua ori pe saptamana\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_13_5\">de doua ori pe saptamana<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_13_6\" name=\"wpforms[fields][13]\" value=\"de 3 ori pe saptamana\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_13_6\">de 3 ori pe saptamana<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_13_7\" name=\"wpforms[fields][13]\" value=\"mai mult de 3 ori pe saptamana\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_13_7\">mai mult de 3 ori pe saptamana<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_14-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"14\"><label class=\"wpforms-field-label\">Starea ta civila? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_14_1\" name=\"wpforms[fields][14]\" value=\"Singur\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_14_1\">Singur<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_14_2\" name=\"wpforms[fields][14]\" value=\"Casatorit\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_14_2\">Casatorit<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_14_3\" name=\"wpforms[fields][14]\" value=\"Intr-o relatie\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_14_3\">Intr-o relatie<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_15-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"15\"><label class=\"wpforms-field-label\">Ai un partener sexual regulat? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_15_1\" name=\"wpforms[fields][15]\" value=\"Da\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_15_1\">Da<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_15_2\" name=\"wpforms[fields][15]\" value=\"Nu\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_15_2\">Nu<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_16-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_16\">Care este frecventa ta de masturbare in ultimul an?  <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" required><\/textarea><div class=\"wpforms-field-description\">De exemplu: o data pe saptamana, de doua ori pe luna<\/div><\/div><div id=\"wpforms-1562-field_17-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"17\"><label class=\"wpforms-field-label\">Cum te masturbezi? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_17\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_17_1\" name=\"wpforms[fields][17]\" value=\"Nu ma masturbez\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_17_1\">Nu ma masturbez<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_17_2\" name=\"wpforms[fields][17]\" value=\"O fac fara lubrifiere\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_17_2\">O fac fara lubrifiere<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_17_3\" name=\"wpforms[fields][17]\" value=\"Folosesc lubrifiant\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_17_3\">Folosesc lubrifiant<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_17_6\" name=\"wpforms[fields][17]\" value=\"Folosesc sapun - sampon - crema etc.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_17_6\">Folosesc sapun - sampon - crema etc.<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_17_5\" name=\"wpforms[fields][17]\" value=\"O fac in pat\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_17_5\">O fac in pat<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_17_4\" name=\"wpforms[fields][17]\" value=\"O fac in baie - toaleta\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_17_4\">O fac in baie - toaleta<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_17_9\" name=\"wpforms[fields][17]\" value=\"O fac urmarind filme porno\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_17_9\">O fac urmarind filme porno<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_17_8\" name=\"wpforms[fields][17]\" value=\"O fac prin fantezie\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_17_8\">O fac prin fantezie<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_17_11\" name=\"wpforms[fields][17]\" value=\"O fac prin frecare\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_17_11\">O fac prin frecare<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_17_12\" name=\"wpforms[fields][17]\" value=\"O fac prin haine\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_17_12\">O fac prin haine<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_17_13\" name=\"wpforms[fields][17]\" value=\"Folosesc masturbator\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_17_13\">Folosesc masturbator<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_18-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"18\"><label class=\"wpforms-field-label\">Te rugam sa bifezi una sau mai multe dintre urmatoarele situatii <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_18\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_1\" name=\"wpforms[fields][18][]\" value=\"Nu am diabet\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_1\">Nu am diabet<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_2\" name=\"wpforms[fields][18][]\" value=\"Am diabet, sunt sub observatie medicala si nu folosesc medicamente\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_2\">Am diabet, sunt sub observatie medicala si nu folosesc medicamente<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_3\" name=\"wpforms[fields][18][]\" value=\"Am diabet, folosesc pastile\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_3\">Am diabet, folosesc pastile<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_7\" name=\"wpforms[fields][18][]\" value=\"Am diabet, folosesc injectii\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_7\">Am diabet, folosesc injectii<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_6\" name=\"wpforms[fields][18][]\" value=\"Am diabet si nu primesc tratament.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_6\">Am diabet si nu primesc tratament.<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_5\" name=\"wpforms[fields][18][]\" value=\"Nu am hipertensiune arteriala\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_5\">Nu am hipertensiune arteriala<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_4\" name=\"wpforms[fields][18][]\" value=\"Am hipertensiune arteriala, sunt sub observatie medicala si nu folosesc medicamente.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_4\">Am hipertensiune arteriala, sunt sub observatie medicala si nu folosesc medicamente.<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_10\" name=\"wpforms[fields][18][]\" value=\"Am hipertensiune arteriala si folosesc medicamente.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_10\">Am hipertensiune arteriala si folosesc medicamente.<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_9\" name=\"wpforms[fields][18][]\" value=\"Am hipertensiune arteriala, nu primesc tratament.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_9\">Am hipertensiune arteriala, nu primesc tratament.<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_8\" name=\"wpforms[fields][18][]\" value=\"Nu am boli cardiovasculare\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_8\">Nu am boli cardiovasculare<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_13\" name=\"wpforms[fields][18][]\" value=\"Am boli cardiovasculare, sub observatie\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_13\">Am boli cardiovasculare, sub observatie<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_12\" name=\"wpforms[fields][18][]\" value=\"Am boli cardiovasculare, folosesc medicamente\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_12\">Am boli cardiovasculare, folosesc medicamente<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_11\" name=\"wpforms[fields][18][]\" value=\"Am boli cardiovasculare, mi s-a pus un stent\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_11\">Am boli cardiovasculare, mi s-a pus un stent<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_16\" name=\"wpforms[fields][18][]\" value=\"Am boli cardiovasculare, nu primesc tratament\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_16\">Am boli cardiovasculare, nu primesc tratament<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_15\" name=\"wpforms[fields][18][]\" value=\"Am boli cardiovasculare, nu primesc tratament\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_15\">Am boli cardiovasculare, nu primesc tratament<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_14\" name=\"wpforms[fields][18][]\" value=\"Nu am o tulburare de ritm cardiac\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_14\">Nu am o tulburare de ritm cardiac<\/label><\/li><li class=\"choice-19 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_19\" name=\"wpforms[fields][18][]\" value=\"Am o tulburare de ritm cardiac, mi s-a instalat un stimulator cardiac\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_19\">Am o tulburare de ritm cardiac, mi s-a instalat un stimulator cardiac<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_18\" name=\"wpforms[fields][18][]\" value=\"Am o tulburare de ritm cardiac, nu primesc tratament\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_18\">Am o tulburare de ritm cardiac, nu primesc tratament<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_18_17\" name=\"wpforms[fields][18][]\" value=\"Nu stiu daca aceste boli exista sau nu\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_18_17\">Nu stiu daca aceste boli exista sau nu<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_19-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_19\">Ai si alte boli in afara de bolile de mai sus? Ce medicamente folosesti, daca exista?  <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_20-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"20\"><label class=\"wpforms-field-label\">Ai una sau mai multe dintre urmatoarele probleme? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_20_1\" name=\"wpforms[fields][20][]\" value=\"Nevoie brusca de a urina\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_20_1\">Nevoie brusca de a urina<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_20_2\" name=\"wpforms[fields][20][]\" value=\"Mersul la toaleta la intervale mai mici de 2 ore\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_20_2\">Mersul la toaleta la intervale mai mici de 2 ore<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_20_3\" name=\"wpforms[fields][20][]\" value=\"Dificultati de a incepe sa urinezi\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_20_3\">Dificultati de a incepe sa urinezi<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_20_7\" name=\"wpforms[fields][20][]\" value=\"Scaderea debitului de urina\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_20_7\">Scaderea debitului de urina<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_20_6\" name=\"wpforms[fields][20][]\" value=\"Jetul urinar este subtire\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_20_6\">Jetul urinar este subtire<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_20_5\" name=\"wpforms[fields][20][]\" value=\"Urinare intrerupta\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_20_5\">Urinare intrerupta<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_20_4\" name=\"wpforms[fields][20][]\" value=\"Jet urinar imprastiat\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_20_4\">Jet urinar imprastiat<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_20_10\" name=\"wpforms[fields][20][]\" value=\"Picurare la sfarsitul urinarii\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_20_10\">Picurare la sfarsitul urinarii<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_20_9\" name=\"wpforms[fields][20][]\" value=\"Senzatie de mictiune incompleta\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_20_9\">Senzatie de mictiune incompleta<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_20_8\" name=\"wpforms[fields][20][]\" value=\"Durere\/disconfort in zona dintre anus si testicule\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_20_8\">Durere\/disconfort in zona dintre anus si testicule<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_20_13\" name=\"wpforms[fields][20][]\" value=\"Arsuri si dureri in capul penisului\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_20_13\">Arsuri si dureri in capul penisului<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_20_12\" name=\"wpforms[fields][20][]\" value=\"Secretie din varful penisului (cu exceptia actului sexual)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_20_12\">Secretie din varful penisului (cu exceptia actului sexual)<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_20_11\" name=\"wpforms[fields][20][]\" value=\"Nu ma incadrez\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_20_11\">Nu ma incadrez<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_21-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_21\">Ai primit vreodata tratament pentru problemele de mai sus? Explica pe scurt. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_22-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_22\">Te-ai operat? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/textarea><div class=\"wpforms-field-description\">Scrie numele, anul si motivul operatiei<\/div><\/div><div id=\"wpforms-1562-field_23-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_23\">Care este afectiunea ta sexuala si cand a inceput? Explica pe scurt. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_24-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"24\"><label class=\"wpforms-field-label\">Care este scorul fermitatii erectiei in preludiu? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_24_1\" name=\"wpforms[fields][24]\" value=\"Nu am fost niciodata intr-o relatie\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_24_1\">Nu am fost niciodata intr-o relatie<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_24_2\" name=\"wpforms[fields][24]\" value=\"0, fara duritate\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_24_2\">0, fara duritate<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_24_3\" name=\"wpforms[fields][24]\" value=\"1-4, fermitate slaba (nu poate patrunde in vagin)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_24_3\">1-4, fermitate slaba (nu poate patrunde in vagin)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_24_6\" name=\"wpforms[fields][24]\" value=\"5, abia intra in vagin\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_24_6\">5, abia intra in vagin<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_24_5\" name=\"wpforms[fields][24]\" value=\"6-7, fermitate buna (permite intrarea in vagin)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_24_5\">6-7, fermitate buna (permite intrarea in vagin)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_24_4\" name=\"wpforms[fields][24]\" value=\"8-9 duritate buna (permite patrunderea in vagin)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_24_4\">8-9 duritate buna (permite patrunderea in vagin)<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_24_9\" name=\"wpforms[fields][24]\" value=\"10, duritate completa\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_24_9\">10, duritate completa<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_25-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"25\"><label class=\"wpforms-field-label\">Care este scorul fermitatii in timpul actului sexual? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_25_1\" name=\"wpforms[fields][25]\" value=\"Nu am fost niciodata intr-o relatie\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_25_1\">Nu am fost niciodata intr-o relatie<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_25_2\" name=\"wpforms[fields][25]\" value=\"0, fara duritate\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_25_2\">0, fara duritate<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_25_3\" name=\"wpforms[fields][25]\" value=\"Erectie initiala dura, pierderea completa a erectiei inainte de penetrare\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_25_3\">Erectie initiala dura, pierderea completa a erectiei inainte de penetrare<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_25_7\" name=\"wpforms[fields][25]\" value=\"Erectie initiala dura, pierderea completa a erectiei in interiorul vaginului.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_25_7\">Erectie initiala dura, pierderea completa a erectiei in interiorul vaginului.<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_25_6\" name=\"wpforms[fields][25]\" value=\"intravaginal 1-4, fermitate slaba (nu poate patrunde in vagin)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_25_6\">intravaginal 1-4, fermitate slaba (nu poate patrunde in vagin)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_25_5\" name=\"wpforms[fields][25]\" value=\"5, abia intra in vagin\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_25_5\">5, abia intra in vagin<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_25_4\" name=\"wpforms[fields][25]\" value=\"6-7, fermitate buna (permite intrarea in vagin)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_25_4\">6-7, fermitate buna (permite intrarea in vagin)<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_25_10\" name=\"wpforms[fields][25]\" value=\"8-9, duritate buna (permite patrunderea in vagin)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_25_10\">8-9, duritate buna (permite patrunderea in vagin)<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_25_9\" name=\"wpforms[fields][25]\" value=\"10, duritate completa\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_25_9\">10, duritate completa<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_26-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"26\"><label class=\"wpforms-field-label\">Care este scorul fermitatii erectiei in timpul preludiilor folosind medicamente, injectii sau alte suplimente? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_26\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_26_1\" name=\"wpforms[fields][26]\" value=\"Nu am fost niciodata intr-o relatie\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_26_1\">Nu am fost niciodata intr-o relatie<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_26_2\" name=\"wpforms[fields][26]\" value=\"0, fara duritate\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_26_2\">0, fara duritate<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_26_3\" name=\"wpforms[fields][26]\" value=\"Erectie initiala dura, pierderea completa a erectiei inainte de penetrare\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_26_3\">Erectie initiala dura, pierderea completa a erectiei inainte de penetrare<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_26_7\" name=\"wpforms[fields][26]\" value=\"Erectie initiala dura, pierderea completa a erectiei in interiorul vaginului.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_26_7\">Erectie initiala dura, pierderea completa a erectiei in interiorul vaginului.<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_26_6\" name=\"wpforms[fields][26]\" value=\"intravaginal 1-4, fermitate slaba (nu poate patrunde in vagin)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_26_6\">intravaginal 1-4, fermitate slaba (nu poate patrunde in vagin)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_26_5\" name=\"wpforms[fields][26]\" value=\"5, abia intra in vagin\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_26_5\">5, abia intra in vagin<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_26_4\" name=\"wpforms[fields][26]\" value=\"6-7, fermitate buna (permite intrarea in vagin)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_26_4\">6-7, fermitate buna (permite intrarea in vagin)<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_26_10\" name=\"wpforms[fields][26]\" value=\"8-9, duritate buna (permite patrunderea in vagin)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_26_10\">8-9, duritate buna (permite patrunderea in vagin)<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_26_9\" name=\"wpforms[fields][26]\" value=\"10, duritate completa\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_26_9\">10, duritate completa<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_27-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"27\"><label class=\"wpforms-field-label\">Care este scorul fermitatii erectiei in actul sexual prin luarea de medicamente, injectii sau alte suplimente? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_27\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_27_1\" name=\"wpforms[fields][27]\" value=\"Nu am fost niciodata intr-o relatie\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_27_1\">Nu am fost niciodata intr-o relatie<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_27_2\" name=\"wpforms[fields][27]\" value=\"0, fara duritate\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_27_2\">0, fara duritate<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_27_3\" name=\"wpforms[fields][27]\" value=\"Erectie initiala dura, pierderea completa a erectiei inainte de penetrare\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_27_3\">Erectie initiala dura, pierderea completa a erectiei inainte de penetrare<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_27_7\" name=\"wpforms[fields][27]\" value=\"Erectie initiala dura, pierderea completa a erectiei in interiorul vaginului.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_27_7\">Erectie initiala dura, pierderea completa a erectiei in interiorul vaginului.<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_27_6\" name=\"wpforms[fields][27]\" value=\"intravaginal 1-4, fermitate slaba (nu poate patrunde in vagin)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_27_6\">intravaginal 1-4, fermitate slaba (nu poate patrunde in vagin)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_27_5\" name=\"wpforms[fields][27]\" value=\"5, abia intra in vagin\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_27_5\">5, abia intra in vagin<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_27_4\" name=\"wpforms[fields][27]\" value=\"6-7, fermitate buna (permite intrarea in vagin)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_27_4\">6-7, fermitate buna (permite intrarea in vagin)<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_27_10\" name=\"wpforms[fields][27]\" value=\"8-9, duritate buna (permite patrunderea in vagin)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_27_10\">8-9, duritate buna (permite patrunderea in vagin)<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_27_9\" name=\"wpforms[fields][27]\" value=\"10, duritate completa\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_27_9\">10, duritate completa<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_28-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"28\"><label class=\"wpforms-field-label\">Care este scorul fermitatii erectiei la masturbare? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_28_1\" name=\"wpforms[fields][28]\" value=\"Nu am fost niciodata intr-o relatie\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_28_1\">Nu am fost niciodata intr-o relatie<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_28_2\" name=\"wpforms[fields][28]\" value=\"0, fara duritate\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_28_2\">0, fara duritate<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_28_3\" name=\"wpforms[fields][28]\" value=\"Erectie initiala dura, pierderea completa a erectiei inainte de penetrare\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_28_3\">Erectie initiala dura, pierderea completa a erectiei inainte de penetrare<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_28_7\" name=\"wpforms[fields][28]\" value=\"Erectie initiala dura, pierderea completa a erectiei in interiorul vaginului.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_28_7\">Erectie initiala dura, pierderea completa a erectiei in interiorul vaginului.<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_28_6\" name=\"wpforms[fields][28]\" value=\"intravaginal 1-4, fermitate slaba (nu poate patrunde in vagin)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_28_6\">intravaginal 1-4, fermitate slaba (nu poate patrunde in vagin)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_28_5\" name=\"wpforms[fields][28]\" value=\"5, abia intra in vagin\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_28_5\">5, abia intra in vagin<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_28_4\" name=\"wpforms[fields][28]\" value=\"6-7, fermitate buna (permite intrarea in vagin)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_28_4\">6-7, fermitate buna (permite intrarea in vagin)<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_28_10\" name=\"wpforms[fields][28]\" value=\"8-9, duritate buna (permite patrunderea in vagin)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_28_10\">8-9, duritate buna (permite patrunderea in vagin)<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_28_9\" name=\"wpforms[fields][28]\" value=\"10, duritate completa\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_28_9\">10, duritate completa<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_29-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_29\">Care este numele medicamentului pe care il utilizati pentru erectie, cum se utilizeaza si cate miligrame are? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_29\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][29]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_30-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"30\"><label class=\"wpforms-field-label\">Exista o diferenta in fermitatea erectiei tale la contactul cu parteneri diferiti? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_30\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_30_1\" name=\"wpforms[fields][30]\" value=\"Nu am nicio relatie\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_30_1\">Nu am nicio relatie<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_30_2\" name=\"wpforms[fields][30]\" value=\"Am un singur partener\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_30_2\">Am un singur partener<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_30_3\" name=\"wpforms[fields][30]\" value=\"Da, exista o diferenta\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_30_3\">Da, exista o diferenta<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_30_4\" name=\"wpforms[fields][30]\" value=\"La fel in toate relatiile\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_30_4\">La fel in toate relatiile<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_31-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_31\">Exista curbura a penisului in timpul erectiei? Daca da, de cat timp exista? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_31\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][31]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_32-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_32\">Exista dureri in penis in timpul erectiei? Daca da, de cat timp exista? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_32\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][32]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_33-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_33\">Simti un nodul dur in penis in timpul erectiei? Daca da, de cat timp exista? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_33\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][33]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_34-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_34\">Scrieti pe scurt ce doriti sa adaugati despre erectie. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_34\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][34]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_35-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"35\"><label class=\"wpforms-field-label\">De cat timp ai probleme cu ejacularea? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_35\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_35_1\" name=\"wpforms[fields][35]\" value=\"Nu am probleme de ejaculare\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_35_1\">Nu am probleme de ejaculare<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_35_2\" name=\"wpforms[fields][35]\" value=\"Nu stiu daca am probleme cu ejacularea\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_35_2\">Nu stiu daca am probleme cu ejacularea<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_35_3\" name=\"wpforms[fields][35]\" value=\"Am de cand imi amintesc.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_35_3\">Am de cand imi amintesc.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_35_4\" name=\"wpforms[fields][35]\" value=\"A inceput in ultimul an\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_35_4\">A inceput in ultimul an<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_36-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"36\"><label class=\"wpforms-field-label\">Care este scorul tau de ejaculare in timpul actului sexual? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_36\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_36_1\" name=\"wpforms[fields][36]\" value=\"0, Ejacularea dupa actul sexual (intrarea si iesirea din vagin de peste 120 de ori)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_36_1\">0, Ejacularea dupa actul sexual (intrarea si iesirea din vagin de peste 120 de ori)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_36_2\" name=\"wpforms[fields][36]\" value=\"1, Ejacularea dupa actul sexual (intrarea si iesirea din vagin de 30-120 de ori)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_36_2\">1, Ejacularea dupa actul sexual (intrarea si iesirea din vagin de 30-120 de ori)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_36_3\" name=\"wpforms[fields][36]\" value=\"2, Ejacularea dupa actul sexual (intrarea si iesirea din vagin de 10-30 de ori)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_36_3\">2, Ejacularea dupa actul sexual (intrarea si iesirea din vagin de 10-30 de ori)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_36_7\" name=\"wpforms[fields][36]\" value=\"3, Ejaculare imediat ce incepeti actul sexual (intrarea si iesirea din vagin de 1-10 ori)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_36_7\">3, Ejaculare imediat ce incepeti actul sexual (intrarea si iesirea din vagin de 1-10 ori)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_36_6\" name=\"wpforms[fields][36]\" value=\"4, Ejaculare in timpul preludiului inainte de actul sexual\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_36_6\">4, Ejaculare in timpul preludiului inainte de actul sexual<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_36_5\" name=\"wpforms[fields][36]\" value=\"5, Nu pot ejacula in timpul actului sexual\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_36_5\">5, Nu pot ejacula in timpul actului sexual<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_36_4\" name=\"wpforms[fields][36]\" value=\"6, Nu-mi amintesc perioada fara medicamente sau suplimente\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_36_4\">6, Nu-mi amintesc perioada fara medicamente sau suplimente<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_36_8\" name=\"wpforms[fields][36]\" value=\"7, Nu am avut niciodata o relatie\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_36_8\">7, Nu am avut niciodata o relatie<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_37-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"37\"><label class=\"wpforms-field-label\">Care este scorul tau de ejaculare in timpul actului sexual prin luarea de medicamente sau suplimente?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_37\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_37_1\" name=\"wpforms[fields][37]\" value=\"Nu am nicio relatie\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_37_1\">Nu am nicio relatie<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_37_2\" name=\"wpforms[fields][37]\" value=\"Nu am folosit niciodata\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_37_2\">Nu am folosit niciodata<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_37_3\" name=\"wpforms[fields][37]\" value=\"1, Nicio schimbare\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_37_3\">1, Nicio schimbare<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_37_6\" name=\"wpforms[fields][37]\" value=\"2, Vaga schimbare\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_37_6\">2, Vaga schimbare<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_37_5\" name=\"wpforms[fields][37]\" value=\"3, Dureaza suficient de mult pentru a fi satisfacut\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_37_5\">3, Dureaza suficient de mult pentru a fi satisfacut<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_37_4\" name=\"wpforms[fields][37]\" value=\"4, Nu pot ejacula in timpul actului sexual\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_37_4\">4, Nu pot ejacula in timpul actului sexual<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_38-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_38\">Daca folosesti medicamente, mentioneaza denumirea si doza. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_39-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_39\">Daca te incadrezi la cele doua rubrici anterioare, te rugam sa explici efectul metodelor pe care le utilizati asupra ejacularii. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_39\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][39]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_40-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"40\"><label class=\"wpforms-field-label\">Exista o diferenta in timpul de ejaculare intre partenerii tai sexuali? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_40\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_40_1\" name=\"wpforms[fields][40]\" value=\"Nu am nicio relatie\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_40_1\">Nu am nicio relatie<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_40_2\" name=\"wpforms[fields][40]\" value=\"Am un singur partener\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_40_2\">Am un singur partener<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_40_3\" name=\"wpforms[fields][40]\" value=\"Da, exista o diferenta\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_40_3\">Da, exista o diferenta<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_40_5\" name=\"wpforms[fields][40]\" value=\"La fel in toate relatiile\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_40_5\">La fel in toate relatiile<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_42-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"42\"><label class=\"wpforms-field-label\">Este penisul tau sensibil in timpul actului sexual sau al masturbarii? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_42\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_42_1\" name=\"wpforms[fields][42]\" value=\"Da\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_42_1\">Da<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_42_2\" name=\"wpforms[fields][42]\" value=\"Nu\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_42_2\">Nu<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_43-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_43\">Daca nu poti ejacula in timpul actului sexual, ce faci pentru a ejacula dupa aceea? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_43\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][43]\" required><\/textarea><\/div><div id=\"wpforms-1562-field_44-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"44\"><label class=\"wpforms-field-label\">Care este scorul tau de dorinta sexuala? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_44\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_44_1\" name=\"wpforms[fields][44]\" value=\"0, Nu am nicio dorinta, nici nu-mi vine in minte.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_44_1\">0, Nu am nicio dorinta, nici nu-mi vine in minte.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_44_2\" name=\"wpforms[fields][44]\" value=\"1, Dorinta mea este foarte mica\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_44_2\">1, Dorinta mea este foarte mica<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_44_3\" name=\"wpforms[fields][44]\" value=\"2, Dorinta mea este mai mica decat inainte\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_44_3\">2, Dorinta mea este mai mica decat inainte<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_44_6\" name=\"wpforms[fields][44]\" value=\"3, Dorinta mea este normala\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_44_6\">3, Dorinta mea este normala<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_44_5\" name=\"wpforms[fields][44]\" value=\"4, Dorinta mea este exagerata\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_44_5\">4, Dorinta mea este exagerata<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_45-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"45\"><label class=\"wpforms-field-label\">Partenerul tau are probleme in relatie? (Convulsii \/ arsuri etc.) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_45\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_45_1\" name=\"wpforms[fields][45]\" value=\"Da\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_45_1\">Da<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1562-field_45_2\" name=\"wpforms[fields][45]\" value=\"Nu\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_45_2\">Nu<\/label><\/li><\/ul><\/div><div id=\"wpforms-1562-field_46-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-1562-field_46\">Care este dimensiunea penisului tau cand esti in erectie? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1562-field_46\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][46]\" required><\/textarea><div class=\"wpforms-field-description\">**cm<\/div><\/div><div id=\"wpforms-1562-field_47-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"47\"><label class=\"wpforms-field-label\">ACORD DE UTILIZARE A DATELOR PERSONALE <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1562-field_47\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1562-field_47_1\" name=\"wpforms[fields][47][]\" value=\"De acord\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1562-field_47_1\">De acord<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Datele personale furnizate sunt utilizate in scopul de a raspunde solicitarilor dvs. Mai multe Informatii despre protectia datelor cu caracter personal regasiti pe: https:\/\/europa.eu\/youreurope\/business\/dealing-with-customers\/data-protection\/data-protection-gdpr\/index_ro.htm<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1562\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/drbogdangusanu.ro\/en\/wp-json\/wp\/v2\/pages\/1574\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1562\" class=\"wpforms-submit\" data-alt-text=\"Se trimite...\" data-submit-text=\"TRIMITE\" aria-live=\"assertive\" value=\"wpforms-submit\">TRIMITE<\/button><img decoding=\"async\" src=\"https:\/\/drbogdangusanu.ro\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Doctor Bogdan Gu\u0219anu CLINICA RO-BOOST Formular de evaluare Completati cu foarte mare atentie formularul de evaluare. Acest formular nu este facut pentru a diagnostica nicio boala pe care o aveti. Dupa ce formularul dvs. este evaluat, se decide daca sunteti potrivit pentru program. Dupa completarea formularului, nu uitati sa apasati butonul\u00a0TRIMITE. Dupa ce formularul ajunge [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"unboxed","site-sidebar-style":"unboxed","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"enabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1574","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drbogdangusanu.ro\/en\/wp-json\/wp\/v2\/pages\/1574","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drbogdangusanu.ro\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drbogdangusanu.ro\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drbogdangusanu.ro\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drbogdangusanu.ro\/en\/wp-json\/wp\/v2\/comments?post=1574"}],"version-history":[{"count":10,"href":"https:\/\/drbogdangusanu.ro\/en\/wp-json\/wp\/v2\/pages\/1574\/revisions"}],"predecessor-version":[{"id":1733,"href":"https:\/\/drbogdangusanu.ro\/en\/wp-json\/wp\/v2\/pages\/1574\/revisions\/1733"}],"wp:attachment":[{"href":"https:\/\/drbogdangusanu.ro\/en\/wp-json\/wp\/v2\/media?parent=1574"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}