Male Hormone Test

1. Have you had a decrease in libido (sex drive)?
   Yes or No
2. Have you had a lack of energy?
   Yes or No
3. Do you have a decrease in strength and/or endurance?
   Yes or No
   
4. Have you lost weight?
   Yes or No
   
5. Have you noticed a decreased “enjoyment of life”?
   Yes or No
   
6. Are you sad and/or grumpy?
   Yes or No
   
7. Are your erections less strong?
   Yes or No
   
8. Have you noticed a recent deterioration in your ability to play sports?
   Yes or No
   
9. Are you falling asleep after dinner?
   Yes or No
   
10. Has there been a recent deterioration in your work performance?
    Yes or No
    

If you answered yes to Questions 1 or 7 you are at a high risk for low testosterone. We recommend you have a blood test to confirm if you have low testoserone.

If you answered yes to any 3 questions you are at a high risk for low testosterone. We recommend you have a blood test to confirm if you have low testoserone.

Questionnaire Validation- Adapted from Morley, Metabolism. 2000;49(9):1239-1242