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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.
| Male Testosterone Deficiency | |||
| Question |
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 Male Bio-Identical – Testosterone Hormone Replacement Therapy (TRT).
I will be happy to talk with you and help you explore your options.
Call 626-365-1084, set up an appointment, and let’s talk.
