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1. Do you have a decrease in Libido (sex drive)?
YesNo

2. Do you have a lack of energy?
YesNo

3. Have you lost height?
YesNo

4. Have you noticed a decreased "enjoyment of life"?
YesNo

5. Do you experience mood swings?
YesNo

6. Are your erections less strong?
YesNo

7. Have you noticed a recent deterioration in your ability to play sports?
YesNo

8. Have you noticed a decrease in strength and/or endurance?
YesNo

9. Do you tire easily?
YesNo

10. Has there been a deterioration in your work performance?
YesNo

11. Do you experience sleep apnea?
YesNo

12. Have you experienced a loss of muscle mass?
YesNo

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