Reply with YES or NO to the following questions |
YES |
NO |
| 1. Do you notice decrease in sex drive (libido)? |
|
|
| 2. Do you lack energy? |
|
|
| 3. Do you have decrease in muscle strength, endurance or both? |
|
|
| 4. Have you lost height? |
|
|
| 5. Have you noticed a decrease in enjoyment of life? |
|
|
| 6. Are you sad, grumpy or both? |
|
|
| 7. Are your erections less strong? |
|
|
| 8. Have you noticed a recent deterioration in your ability to play sports? |
|
|
| 9. Are you falling asleep after dinner? |
|
|
| 10. Has there been a recent deterioration in your work performance? |
|
|
|
|