Testosterone Screening Questionnaire Do you have a decrease in libido (sex drive)? Yes No Do you feel unusually tired? Yes No Do you have less frequent early morning erections? Yes No Do you feel depressed or anxious? Yes No Are your erections difficult to achieve or less strong? Yes No Do you have increased sweating or night sweats? Yes No Has there been a decline in your concentration or memory? Yes No Have you noticed a loss of drive and enthusiasm? Yes No Do you feel more irritable or grumpy? Yes No Do you have disturbed sleep? Yes No Have you noticed unexplained weight gain, or difficulty losing weight? Yes No Have you noticed loss of muscle mass, weakness or a decline in athletic performance? Yes No Do you have delayed or early ejaculation? Yes No Have you noticed reduced facial hair growth? Yes No Have your testicles become smaller or tender? Yes No CAPTCHA