Which of the following symptoms apply to you at this time? Please, mark the appropriate box for each symptom. For symptoms that do not apply, please mark “none”.

1. Decreased interest in sex?
2. Difficulty getting and/or maintaining your erection?
3. Hard time climaxing?
4. Low energy level?
5. Poor results from workouts?
6. Less muscle, more belly fat?
7. Difficulty with mental focus?
8. Anxiety and/or moodiness, depression?

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Last updated: June 2021