Mark the appropriate box for each symptom.
  1. Do you have a decrease in libido (sex drive)?
  2. Do you have a lack of energy?
  3. Do you have a decrease in strength
    and/or endurance?
  4. Have you lost height?
  5. Have you noticed a decreased "enjoyment of life"?
  6. Are you sad and/or grumpy?
  7. Are your erections less strong?
  8. Hove you lost some of your ability to play sport?
  9. Are you falling asleep after dinner?
  10. Has your work performance deteriorated?
NA

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