Males Hormone Assessment Form

Decreased Mental Sharpness and Stamina

Depression

Anxiety

Poor Memory

Forgetfulness

Mood swings

Irritability

Lack of Focus

Lack of Motivation and Drive

Fatigue - Lack of Energy

Back/Body - Joint Pains

Loss of Muscle Mass

Weight Gain Around Torso

Decreased Exercise Toleranc

Change in Sleep Habits

Reliant on/or Ineffective Results from ED Medications

Decreased Sexual Desire

Loss of Spontaneous and Morning Erections

Decreased Erection Strength