Answer the questions below. If you answer Yes to 3 or more, a free consultation with our specialists is recommended.

Q1. Sex Drive: Has your sex drive decreased compared to the past?

YesNo

Q2. Energy Levels: Do you have less daily energy than you used to?

YesNo

Q3. Strength & Endurance: Have you noticed a decrease in your overall strength and/or endurance?

YesNo

Q4. Height: Have you lost height?

YesNo

Q5. Enjoyment of Life: Have you noticed a decreased enjoyment of life?

YesNo

Q6. Mood: Do you often feel sad and/or irritated?

YesNo

Q7. Work Performance: Is your work performance deteriorating?

YesNo

Q8. Performance Strength: Is your performance less strong than it used to be?

YesNo

Q9. Maintaining Erection: Has it become more difficult to maintain an erection throughout intercourse?

YesNo

Q10. Number of Erections: Have you experienced a decrease in the number of morning erections?

YesNo

Q11. Weight: Are you experiencing weight gain, decreased muscle mass, or increased body fat?

YesNo

Q12. Breast Changes: Have you noticed enlargement or changes in your breasts?

YesNo

Q13. Sleepiness after Dinner: Do you frequently fall asleep after dinner?

YesNo

Q14. Sleep: Do you have trouble falling asleep or sleeping through the night?

YesNo

Q15. Overall Health: Have you experienced any decline in your overall health?

YesNo

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Medical Disclaimer. This health assessment is provided for informational and educational purposes only. It does not constitute medical advice, diagnosis, or treatment, and is not a substitute for consultation with a licensed healthcare provider. Your responses are used only to help our team prepare for your free consultation. If you are experiencing a medical emergency, call 911. By submitting this form you consent to be contacted by Progressive Health & Rejuvenation.

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