Testosterone Test Survey
1
. Did you previously know what testosterone does?
Did you previously know what testosterone does?
Yes
No
2
. Did you know that testosterone levels decline as you age?
Did you know that testosterone levels decline as you age?
Yes
No
3
. Are you concerned that you are losing testosterone?
Are you concerned that you are losing testosterone?
Yes, very concerned
Yes, concerned
Somewhat concerned
Not a priority for me.
No, definitely not concerned
4
. Do you know what your testosterone levels are currently?
Do you know what your testosterone levels are currently?
Yes
No
5
. If the test were easy and painless, how interested would you be in taking it to find out your testosterone levels?
If the test were easy and painless, how interested would you be in taking it to find out your testosterone levels?
Very interested
Interested
Somewhat interested
Not a priority for me
No interest at all
6
. Where would you prefer to take a testosterone test?
Where would you prefer to take a testosterone test?
My home
My work place
Doctor's office
Local Clinic
Hospital
Sports Club/Gym
7
. What would you expect to pay for a clinical grade testosterone test?
What would you expect to pay for a clinical grade testosterone test?
$75-100
$50-75
$40-50
$30-40
$20-30
8
. If you heard that this type of test were available at your local grocery or drug store, how interested would you be in purchasing the test?
If you heard that this type of test were available at your local grocery or drug store, how interested would you be in purchasing the test?
Very interested
Interested
Somewhat interested
Not a priority for me
No interest at all
9
. If you could do something about increasing your testosterone levels, how interested would you be?
If you could do something about increasing your testosterone levels, how interested would you be?
Very interested
Interested
Somewhat interested
Not a priority for me
No interest at all
10
. Would you like someone to contact you with addition information concerning testosterone levels? If YES, please include your email or phone number below.
Would you like someone to contact you with addition information concerning testosterone levels? If YES, please include your email or phone number below.
Email Address:
Phone Number:
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