SWI: GROWTH HORMONE DEFECIENCY TEST

GROWTH HORMONE DEFECIENCY TEST

Name:

Birth of date: Month / Day / Year

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Signs and symtoms


1. My hair is thinning

Never Sometimes Regular Often Constantly


2. My cheeks sag

Never Sometimes Regular Often Constantly


3. My gums are receding

Never Sometimes Regular Often Constantly


4. My abdomen is flabby and I've got a spare tire

Never Sometimes Regular Often Constantly


5. My muscle are slack

Never Sometimes Regular Often Constantly


6. My skin is thin and/or dry

Never Sometimes Regular Often Constantly


7. It's hard to recover after physical activity

Never Sometimes Regular Often Constantly


8. I feel exhausted

Never Sometimes Regular Often Constantly


9. I don't like the world I tend to isolate myself

Never Sometimes Regular Often Constantly


10. I feel continuously ancious and worried

Never Sometimes Regular Often Constantly