Androgen Deficiency Screening Survey

Do you often feel tired, overwhelmed or that something is just not quite right? Take this screening survey to find out if you should have your male hormones assessed.

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1. Do you have a decrease in libido (sex drive)?

Yes

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2. Do you have a lack of energy

Yes

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3. Do you have a decrease in strength or endurance?

Yes

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4. Have you lost height?

Yes

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5. Have you noticed a decreased “enjoyment of life”?

Yes

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6. Are you sad and/ or grumpy?

Yes

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7. Are your erections less strong?

Yes

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8. Have you noticed a recent deterioration in your ability to play sports or exercise?

Yes

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9. Are you falling asleep after dinner?

Yes

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* 1. Do you have a decrease in libido (sex drive)?

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* 2. Do you have a lack of energy

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* 3. Do you have a decrease in strength or endurance?

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* 4. Have you lost height?

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* 5. Have you noticed a decreased “enjoyment of life”?

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* 6. Are you sad and/ or grumpy?

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* 7. Are your erections less strong?

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* 8. Have you noticed a recent deterioration in your ability to play sports or exercise?

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* 9. Are you falling asleep after dinner?

1. Do you have a decrease in libido (sex drive)?

2. Do you have a lack of energy

3. Do you have a decrease in strength or endurance?

4. Have you lost height?

5. Have you noticed a decreased “enjoyment of life”?

6. Are you sad and/ or grumpy?

7. Are your erections less strong?

8. Have you noticed a recent deterioration in your ability to play sports or exercise?

9. Are you falling asleep after dinner?