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Your Privacy is My Priority.

I understand the courage it takes to reach out. This form is 100% confidential and encrypted. Your data, measurements, and images are viewed only by me (Tracy Louise) and are never shared, sold, or stored on public servers. Once your assessment is complete, your records are handled in strict accordance with Australian Privacy Principles. You are in a safe, professional, and judgement-free space.
What is your age?
18-25
26-35
36-50
50+
What prompted you to seek clarity today?
Does this concern cause you to avoid dating or intimate encounters?
Yes
No
Sometimes
Do you frequently compare yourself to images seen in adult media or locker rooms?
Often
Occasionally
Sometimes
Have you previously tried to "diagnose" yourself using Google or Reddit?
Yes
No
Erect Shape: When erect, is your penis straight, or does it have a noticeable curve?
Yes
No
Curvature Direction: If curved, which way? (Up, Down, Left, Right, No Curve)
Symmetry: Are you concerned about the size or "hang" of your testicles being uneven?
Skin Texture: Do you notice tiny, uniform, skin-colored bumps around the head (glans)?
Skin Markings: Do you have any dark spots, moles, or "freckles" on the shaft that have changed recently?
The Frenulum: Is there a "tight" sensation or pulling feeling on the underside when erect?
Circumcision Status: Are you circumcised or intact?
Yes
No
Coloration: Is the skin on your genitalia significantly darker than the rest of your body?
Yes
No
Perceived Size: Do you feel your size is "Below Average," "Average," or "Above Average"?
The "Bone-Pressed" Check: Have you ever measured using the "bone-pressed" method for accuracy?
Yes
No
Girth vs. Length: Which area do you feel is "lacking" or causing the most self-consciousness?
Length
Girth
Physical Pain: Do you experience any physical pain during arousal or intercourse?
Yes
No
Occasionally
Recent Changes: Has the appearance or "bend" changed suddenly in the last 6 months?
Yes
No
Previous Consultation: Have you ever spoken to a GP or Urologist about this specific concern before?
Yes
No
This assessment is for educational and confidence-building purposes only. It is not a medical diagnosis. If you are experiencing pain or discharge, please consult a medical professional immediately
Yes
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Strict Confidentiality & Professional Agreement

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  1. Private Handling: All information, including physical descriptions and photographic media, is handled exclusively by Tracy Louise. No third-party staff or administrators have access to your files.

  2. Encrypted Security: We utilize industry-standard encryption for data transmission to ensure your identity and information remain protected from unauthorized access.

  3. No Clinical Records: This is a coaching and educational service. While we maintain the highest privacy standards, these records are not part of the public health system.

  4. Data Deletion: To further protect your privacy, you may request the permanent deletion of your photos and data at any time once your report has been delivered.

  5. Mutual Respect: This service provides a clinical-style assessment for normalcy and confidence. It is a professional relationship built on mutual trust and discretion.

© 2025 TLC & The Relationship Counselling

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