Allen Lawrence, M.D., Ph.D.
Advanced Wellness Medical Group
Phone: 310-879-9266 or 844-222-577
www.AdvancedWellnessMedical.com Info@AdvancedWellnessMedical.com
Men’s Testosterone Deficiency Questionnaire
This Testosterone Deficiency Questionnaire will help men determine if they have meaningful symptoms associated with low testosterone and therefore a deficiency of their male sex hormones.
This questionnaire is useful for determining the kind and severity of your low testosterone symptoms and whether or not you would benefit from Bio-Identical – Male Hormone Replacement Therapy.
Questions | No | Yes | |
1. | Do You Have a Decreased Sex Drive (A Low Libido)? | ||
2. | Do You Frequently Feel Tired or Generally Feel as If You Are Low on Energy? | ||
3. | Do You Have Decreased Strength And/or Endurance? | ||
4. | Have You Lost Height? | ||
5. | Have You Noticed a Decreased Level in Your “Enjoyment of Life” | ||
6. | Do You Often Feel Sad And/or Grumpy? | ||
7. | Are Your Erections less Strong Then They Have When You Were Age 25? | ||
8 | Have You Noticed a Recent Deterioration in Your Ability to Play Sports or Perform Physical Activities? | ||
9. | Do You Frequently Fall Asleep after Dinner or Feel Really Tired in the Evening? | ||
10 | Has There Been a Recent Deterioration in Your Work Performance? | ||
11 | Mental Fogginess | ||
12 | Increased Anxiety or Depression |
Are You Testosterone Deficient? The Answer!
Men: If you have answered No to all of the questions above, then you are not Testosterone Deficient.
Men: If you have answer Yes to either Question #1 or to Question #7, or to both, or if you have answered Yes, to more than 3 total questions, then you are either Testosterone Insufficient or Testosterone Deficient.
If you are Testosterone Insufficient or Testosterone Deficient, then you will likely benefit greatly from Bio-Identical – Male Hormone Replacement Therapy.
I will be happy to talk with you and help you explore your options.
If you have questions or need help please call us at 310-879-9266 or 844-222-577 or send email to info@advancedwellnessmedical.com