Health Testosterone Assessment for Men

Fatigue

Never Mild Moderate Severe

Joint Pain / Muscle Aches

Never Mild Moderate Severe

Sleep Problems

Never Mild Moderate Severe

Irritability / Anxiety / Nervousness

Never Mild Moderate Severe

Depressive Mood

Never Mild Moderate Severe

Declining Mental Ability / Focus

Never Mild Moderate Severe

Declining Mental Ability / Focus

Never Mild Moderate Severe

Decreased Muscle Strength

Never Mild Moderate Severe

Weight Gain

Never Mild Moderate Severe

Belly Fat / Inability to Lose Weight

Never Mild Moderate Severe

Rapid Hair Loss

Never Mild Moderate Severe

Decreased Desire / Libido

Never Mild Moderate Severe

Decreased Morning Erections

Never Mild Moderate Severe

No Results from E.D. Medications

Never Mild Moderate Severe

Decreased Quality of Erections

Never Mild Moderate Severe

Please select all of the following that apply:

Heart Disease

Diabetes

Osteoporosis

Alzheimer's Disease

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