Do you or a partner suffer from erectile dysfunction?

We’re partnering with Amazon Health Services to create an inspiring video that sheds light on the impact of erectile dysfunction (ED) and offers hope through a simple, discreet, and affordable solution. We’re looking for couples willing to share their journey—how ED has affected your relationship and how you’ve worked through it. By participating, you’ll help other couples feel less alone and show that help is within reach. WHEN: TBD WHERE: Seattle (We will fly you to our studio if you are out of state!) PAY: $TBD

First Name

Last Name

What city and state do you live in?

Attach a recent photo of yourself and your partner.

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What is your date of birth?

What is your email address?

Phone Number

Ethnicity

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Gender Identity

Sexuality

What are your pronouns?

What do you do for work?

Have you ever been convicted of a crime?

Answering yes does not exclude you from being cast.

If yes, what is the nature of your crime?

{name}

Link to one of your social media profiles.

Instagram? Facebook? If none, write "N/A".

Tell us a little bit about you and your partner. How did you meet? How long have you been together?

{name}

Who in your relationship struggles with ED?

{name}

How has it impacted your relationship?

{name}

Optional: Submit a video of you telling us why you should be in this video.

Your chances will be higher to get casted if you submit a video, but it's not required.

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How did you hear about us?

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