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Testosterone Questionnaire for Men
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How difficult is it for you to build muscle?
*
Extremely difficult
Very difficult
Moderately difficult
It’s easy for me
How hard is it for you to lose fat?
*
Feels impossible
Very hard
Moderately hard
It's easy for me
How often do you experience erectile dysfunction (ED)?
*
Almost every time
Very often
On occasion
Never
How would you rate your sex drive (libido)? “My sex drive…”
*
Dropped significantly
Somewhat declined
Feels OK
Is excellent
How would you rate your overall happiness and wellbeing?
*
Always unhappy
Usually unhappy
Depends on the day
Always happy
Which of these results would make the BIGGEST difference in your life?
*
Shed fat with ease
Gain muscle fast
Sky-high sex drive
Long-lasting hard erections
Youthful energy
Happiness and fulfillment
When was the last time you got your blood work done?
*
Within last 30 days
Within last three months
Within last year
Over a year
Are you currently under any form of hormonal treatment?
*
Yes
No
Please specify
*
What are your primary health goals?
*
Are you interested in proactive healthcare and preventative measures to optimize your health and longevity?
*
Yes
No
Do you stay active and prioritize healthy lifestyle habits like exercise and nutrition?
*
Yes
No
Would you be open to exploring evidence-based, cutting-edge therapies for anti-aging and wellness?
*
Yes
No
Are you comfortable providing recent blood work or participating in a comprehensive health assessment?
*
Yes
No
Do you believe in a collaborative approach to healthcare, working with medical professionals to achieve your goals?
*
Yes
No
Enter your zip code
*
We need to make sure your state allows telehealth.
Name
*
First
Last
Email
*
Phone
*
How did you hear about us?
*
Facebook
Instagram
Ad on Google
Google Search
Other
Please specify
*
If you heard about us from another source, please specify.
Our clinic is located in Hallandale, Florida, are you nearby?
Yes
I can make it
No, but I'm OK with a virtual consultation
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Testosterone for Men
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