320 KINGWOOD EXECUTIVE DR. SUITE D KINGWOOD, TX 77339
(281) 666-9211
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Male BioTE Assessment Quiz
Name
*
Phone
*
Email
*
Decline in General Well Being
*
Never
Mild
Moderate
Severe
Fatigue
*
Never
Mild
Moderate
Severe
Joint Pain
*
Never
Mild
Moderate
Severe
Excessive Sweating
*
Never
Mild
Moderate
Severe
Sleep Problems
*
Never
Mild
Moderate
Severe
Irritability
*
Never
Mild
Moderate
Severe
Nervousness or Anxiety
*
Never
Mild
Moderate
Severe
Depressed Mood
*
Never
Mild
Moderate
Severe
Exhaustion & Lacking Vitality
*
Never
Mild
Moderate
Severe
Declining Mental Focus & Concentration
*
Never
Mild
Moderate
Severe
Feeling You Have Passed Your Peak
*
Never
Mild
Moderate
Severe
Feeling Burned Out
*
Never
Mild
Moderate
Severe
Decreased Muscle Strength
*
Never
Mild
Moderate
Severe
Weight Gain, Belly Fat, or Unable to Lose Weight
*
Never
Mild
Moderate
Severe
Shrinking Testicles
*
Never
Mild
Moderate
Severe
Rapid Hair Loss
*
Never
Mild
Moderate
Severe
Breast Development
*
Never
Mild
Moderate
Severe
Decrease in Beard Growth
*
Never
Mild
Moderate
Severe
Migraine Headaches
*
Never
Mild
Moderate
Severe
Decreased Sexual Desire or Libido
*
Never
Mild
Moderate
Severe
Decreased Morning Erections
*
Never
Mild
Moderate
Severe
Decreased Ability to Perform Sexually
*
Never
Mild
Moderate
Severe
Infrequent or Absent Ejaculations
*
Never
Mild
Moderate
Severe