# Testosterone Screen Test at $5 Nett Home / Testosterone Screen Test at$5 Nett

Kindly fill out this form and our staff will contact you directly.

This basic questionnaire helps men to know the severity of their low testosterone symptoms. If you answer “yes” to questions 1 or 7 or any 3 other questions, you may have low T.

Name Email Phone Number

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 in life”?
6) Are you sad and/or grumpy?
7) Are your erections less strong?
8) Have you noticed a recent deterioration in your ability to play sports?
9) Are you falling asleep after dinner?
10) Has there been a recent deterioration in your work performance?