Men’s Symptoms

Men's Symptoms Checklist

Yes

No

1

Do you have a decrease in libido (sex drive)?

2

Do you have a lack of energy?

3

Do you have a decrease in strength and/ or endurance?

4

Have you lost height?

5

Have you noticed decrease in "enjoyment of life"?

6

Are you sad and/or grumpy?

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?

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