Roman's evaluation is more involved than a two-minute quiz, and that's deliberate: it requires a government ID, your medical history, a blood pressure reading and a video visit with a licensed clinician. The upside is a real medical assessment. The practical question is how to get through it without stalling. This walkthrough covers each step in order, how long it takes, what to have ready, and where men typically lose time.
Before You Start: The Three Things to Have Ready
- Government-issued photo ID — driver's licence or passport, unexpired, and a phone that can photograph it clearly.
- A recent blood pressure reading — from a home cuff, a pharmacy kiosk, or a recent doctor's visit. Systolic over diastolic, e.g. 128/82. See how to get one quickly.
- Your medication and condition list — everything you take, including supplements, and any heart, blood pressure, liver, kidney or eye conditions.
With those three, the whole medical part can be done in one sitting. Without them, it can drag over days.
Step 1: Account and Health Questionnaire (10–15 minutes)
You create an account and answer a structured questionnaire covering your ED symptoms (how long, how often, situational or consistent), general health, cardiovascular history, medications, allergies, and previous ED treatment. Answer honestly and completely; the clinician reads this before the video visit, and gaps become follow-up questions that cost time. If you're on nitrates or have had a recent heart event, say so — this is the point of the process.
Step 2: ID Upload (2 minutes)
Photograph your ID in good light, flat, all four corners visible, no glare. Blurry or cropped uploads are a top cause of delay. Roman needs this to verify identity and age before a clinician can prescribe.
Step 3: Blood Pressure Reading (2 minutes if you have it)
Enter your reading and when it was taken. PDE5 inhibitors lower blood pressure slightly and interact with blood pressure medications, so a baseline matters clinically. This step is the single most common place men stall, because they don't have a cuff at home. A pharmacy kiosk reading solves it in a few minutes.
Begin Roman's Evaluation →Free online evaluation · Licensed clinicians · Free shippingStep 4: Video Visit (10–15 minutes; same- or next-day)
You book a slot with a licensed clinician licensed in your state. Availability is commonly same-day or next-day on weekdays; evenings and weekends can be tighter. The visit itself is short and clinical: the clinician confirms your history, asks about anything that needs clarification, may ask about symptoms in a bit more detail, and discusses options — sildenafil versus tadalafil, strength, whether Ro Sparks or a daily format fits. They may request additional tests if your history warrants it. Be somewhere private with decent connection; that's the only preparation it needs.
Step 5: Prescription (hours to one day)
After the visit, the clinician finalizes the prescription and your plan. If everything was complete, this is often the same day. If there's a follow-up question, it lands in the app or your email; answering within the hour keeps things moving. The prescription then goes to Roman's pharmacy partner for fulfilment.
Step 6: Shipping (2–5 days)
Medication ships free in plain, discreet packaging. Fulfilment is typically a business day or two; transit depends on your distance from the fulfilling pharmacy. You'll get tracking. Full detail in How Long Does Roman Take to Ship?
Timeline at a Glance
| Step | Your time | Elapsed time (typical, weekday) |
|---|---|---|
| 1. Questionnaire | 10–15 min | Day 0 |
| 2. ID upload | 2 min | Day 0 |
| 3. Blood pressure reading | 2 min (if ready) | Day 0 |
| 4. Video visit | 10–15 min | Day 0–1 |
| 5. Prescription | 0 (reply to questions if any) | Day 0–2 |
| 6. Shipping | 0 | Day 2–7 |
After You're Prescribed
Your Roman account keeps a line to the clinician. Dose adjustments (50mg to 100mg, say), switching between sildenafil and tadalafil, or asking about Ro Sparks are messages, not new evaluations. Plans are adjustable, and refills ship on your schedule. See What Happens After Approval.
If You'd Rather Skip the Video Visit
Roman's video visit is the reason its evaluation is thorough, and for first-time users or anyone with health history we think it's worth the ten minutes. If you're experienced with the medication, healthy, and want the fewest steps, PeterMD reviews an intake without a video visit or blood pressure reading, with public pricing and fixed packs. Comparison: Video Visit vs Questionnaire.
Common Questions During the Visit
Clinicians tend to cover the same ground, so it helps to have answers ready: how long you've had symptoms and whether they're consistent or situational; whether you get morning erections (a useful signal about blood flow); any chest pain, shortness of breath or palpitations with exertion; your blood pressure reading and whether you're treated for it; every medication including supplements; alcohol and recreational drug use, honestly; and any previous ED medication, at what dose, and what happened. None of it is a trick. It's the information that sets a safe dose the first time.
If Something's Missing
If you hit the blood pressure step without a reading, or the ID upload fails, the account saves your progress. Get the reading, retake the photo in daylight, and pick up where you left off the same day rather than next week. The single most useful thing you can do for speed is to not let a two-minute problem become a three-day pause.
Our Verdict — September 2026
Roman's evaluation takes about 20 minutes of your time and, done right, is medically complete within a day. The whole thing hinges on having your ID, a blood pressure reading and your medication list before you start. Do that, book the first video slot, answer any question the same hour, and the only thing left to wait for is the courier.
Frequently Asked Questions
How long does the Roman sign-up take?
About 15–20 minutes of your time if you have your ID and a blood pressure reading ready: the questionnaire takes 10–15 minutes, uploads a few more, and the video visit is typically 10–15 minutes at a scheduled slot.
Is the Roman video visit awkward?
It's a short clinical conversation with a licensed clinician who does this all day. They'll confirm your history, ask about symptoms and medications, and discuss options. Most men find it far less awkward than expected.
Do I need a blood pressure reading before I start?
Roman requires one as part of the evaluation. A recent reading from a home cuff or pharmacy kiosk works. Having it ready before you sign up avoids the most common stall.
What if the clinician asks follow-up questions?
Reply promptly through the app or email. Each round-trip can add hours or a day. Common questions concern medications, heart history and previous ED treatment.
Can Roman decline to prescribe?
Yes. If your history suggests it isn't safe — nitrate use, unstable heart disease, certain other conditions — the clinician may decline or recommend in-person care. That's the evaluation working as intended.
Do I choose the medication or does the clinician?
You can express a preference (sildenafil, tadalafil, Ro Sparks, daily formats), and the clinician decides what's appropriate. Most men get what they asked for if it's suitable.
Does Roman charge for the evaluation?
Roman's evaluation is included; you pay for the medication plan. Check current terms at checkout.