SWI: TESTOSTERONE DEFICIENCY TEST

TESTOSTERONE DEFECIENCY TEST

Name:

Birth of date: Month / Day / Year

Email:

Contact No.:

Skype No.:

Address:





Signs and symtoms


Men and Women

1. My face has become stack and more wringkled

Never Sometimes Regular Often Constantly


2. I've lost muscle tone

Never Sometimes Regular Often Constantly


3. My belly tends to get fat

Never Sometimes Regular Often Constantly


4. I'm constantly tired

Never Sometimes Regular Often Constantly


5. I feel like making loves often than I used to

Never Sometimes Regular Often Constantly



Men only

6. My breast are getting fatty

Never Sometimes Regular Often Constantly


7. I feel less confident and more hesitant

Never Sometimes Regular Often Constantly


8. My sexual performances are poorer than it used to be

Never Sometimes Regular Often Constantly


9. I have hot flashes and sweats

Never Sometimes Regular Often Constantly


10. I tire easily with physical activity

Never Sometimes Regular Often Constantly