Men's Hormone Test

 

Please answer the questions below. We will review your answers and return your results via email. If you have any further questions, please email us at info@balancedlifeandhealth.com

 

 
Have you noticed a loss of muscle mass, stregnth or endurance? *
Are you getting a "midline drift," and are you having trouble keeping the fat off? *
Have you noticed a loss of self-confidence? *
Have you lost interest in sex? *
Do you feel depressed? *
Do you feel less energetic than when you were 30? *
Do you feel as though you have lost your "edge"? *
Have you noticed fewer morning erections, or do you have trouble getting an erection? *
Do poeple refer to you as a "grumpy old man"? Are you finding it harder to control your temper? *
Do you find yourself having difficulty concentrating or focusing? *
Name *
Name
(website, radio, internet, friend, etc.)