Men Assessment to overall health & wellness
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Question 1 of 10
Do you have reduced energy, motivation, and initiative?
Yes
No
Question 2 of 10
Do you lack self confidence?
Question 3 of 10
Do you lack concentration and/or focus?
Question 4 of 10
Are you noticing recent changes in your short term memory and find yourself forgetting things more frequently?
Question 5 of 10
Do you find yourself have less restful nights and/or sleep disturbance?
Question 6 of 10
Have you noticed a decrease in overall muscle mass along with increase in body fat regardless of activity levels?
Question 7 of 10
Have you noticed that you feel down, depressed or quick to temper more frequently?
Question 8 of 10
Do you feel that you have a decreased interest in sex or issues with obtaining or maintaining an erection?
Question 9 of 10
Please provide your full name?
Question 10 of 10
What is your email address and phone number?