Fill out the following quiz completely:

    Yes No
Do you have a decreased libido (sex drive)?  

Do you lack energy?

 

Do you feel sad?

 

Do you have decreased strength?

 

Do you have decreased endurance?

 

Have you had a decrease of hair growth?

 

Do you have a loss of clarity?

 

Have you noticed a loss of muscle mass?

 

Do you suffer from hot flashes?

 

Do you suffer from erectile dysfunction?

 

Do you suffer from memory loss?

 

Do you have high blood pressure?

 
 
Name:  
Email:  
Phone: