Hormone Screening for Men

Instructions:  0 means you have no symptoms of this type at all. 1 means you have very mild symptoms of this type. 5  would be moderate symptoms and 10 would mean you have severe symptoms of this type.

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    How Did You Hear About Us?*

    Decline In General Well-Being*


    Joint Pain/Muscle Aches*

    Sleep Problems*


    Depressive Mood*

    Weight Gain/Belly Fat/Inability To Lose Weight*

    Hair Loss*

    Decreased Desire/Libido*

    Decreased Ability To Perform Sexually*