Testosterone Pre-Test
1.
What is your age range?
18-24
25-34
35-44
45-54
55-64
65+
2.
How would you describe your current sleep schedule?
Do not sleep well
1 star
2 stars
3 stars
4 stars
Sleep well
5 stars
3.
What is your current mood?
Sad
1 star
2 stars
3 stars
4 stars
Happy
5 stars
4.
How would you describe your Libido?
No Libido
1 star
2 stars
3 stars
4 stars
High Libido
5 stars
5.
How would you describe your energy levels?
Always tired
1 star
2 stars
Sometimes tired
3 stars
4 stars
Never tired
5 stars
6.
How often do you exercise?
0-2 times per week
3-5 times per week
5-7 times per week
7.
Are you experiencing any hair loss currently?
Yes
No
8.
Where do you normally gain weight?
Mid Section
Chest
Back
All over
Extremities
9.
How would you describe your ability to focus?
Cannot Focus
1 star
2 stars
3 stars
4 stars
Focused
5 stars