1. Have you gained body fat in recent months or over the past few years?
Yes     No
2. Have you experienced a decrease in your sex drive?
Yes     No
3. Have you begun to lose your hair?
Yes     No
4. Do you have a decrease in strength and/or endurance?
Yes     No
5. Do you have a lack of energy?
Yes     No
6. Have you noticed a loss of muscle mass?
Yes     No
7. Do you notice feeling more depressed or angry than usual?
Yes     No
8. Have you noticed a recent deterioration in your ability to play sports?
Yes     No
9. Do you find yourself falling asleep or going to bed earlier than usual?
Yes     No
10. Have you noticed any difficulty urinating?
Yes     No