13301 N. Meridian, Suite 400 Oklahoma City, OK 73120 | 405.755.4600|info@thesteelmanclinic.com
Male BHRT Questionnaire2019-01-10T16:00:15+00:00
Male HRT Questionnaire

Please answer the questions using the scale provided.
0=Never 1=Not often 2=Frequently 3=Most of the time.

Feel tired and don't have as much energy?
0123

Feel life just isn't as enjoyable as it used to be?
0123

Becoming forgetful, inability to concentrate, memory loss?
0123

Worry more, have more anxiety about issues?
0123

Have a decrease in your libido/ sexual drive?
0123

Do not have the desire to take on new tasks and challenges?
0123

Feel sleepy during the day, not sleeping through the night?
0123

Have trouble completing projects and assignments?
0123

Feel more irritable, have more mood swings?
0123

Have a decrease in muscular strength and tone?
0123

Have you ever been diagnosed with "elevated cholesterol?"
yesno



E-mailOnline AdSearch EngineTwitterFacebook

CONTACT US NOW.