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Might be Low T Questionnaire

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1Questionnaire
2Your Information
How would you rate your current libido (sex drive)?*
0 = no drive at all
Do you feel tired or lack energy frequently?*
Have you noticed a decrease in strength or endurance?*
Have you lost height recently?*
Have you experienced depression or feelings of sadness?*
Have you noticed a deterioration in the strength of your erections?*
Have you experienced a deterioration in your ability to play sports?*
Have you noticed a deterioration in your work performance?*
Do you often fall asleep after dinner?*
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MARYLAND

1 Park Place, Suite 325, Annapolis, MD 21401

(410) 995-8550

OFFICE HOURS
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Wed 9:00am-5:00pm
Thu 9:00am-5:00pm
Fri 9:00am-5:00pm

LAS VEGAS

1215 S. Fort Apache Rd #230
Las Vegas, NV 89117

(725) 220-3890

OFFICE HOURS
Mon 9:00am-5:00pm
Tue 9:00am-5:00pm
Wed 9:00am-5:00pm
Thu 9:00am-5:00pm
Fri 9:00am-5:00pm

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