Testosterone Replacement Therapy Quiz Take our quiz to find out if TRT may be right for you! Low T Symptom Questionnaire for Men Decreased Muscle Strength NeverMildModerateSevere Fatigue NeverMildModerateSevere Joint and/or Muscle Aches and Pains NeverMildModerateSevere Sleep Problems NeverMildModerateSevere Anxiety / Irritability NeverMildModerateSevere Depressed Mood NeverMildModerateSevere Declining Cognitive Ability / Decreased Ability to Focus NeverMildModerateSevere Weight Gain / Belly Fat / Inability to Lose Weight NeverMildModerateSevere Thinning Hair NeverMildModerateSevere Decreased Libido NeverMildModerateSevere Decreased Morning Erections NeverMildModerateSevere Decreased Quality of Erections NeverMildModerateSevere E.D. Medications Don't Work I don't take E.D. MedsNeverMildModerateSevere Family History Questions Diabetes YesNo Heart Disease YesNo Osteoporosis YesNo Prostate Cancer YesNo Alzheimer's Disease YesNo Please fill out the information below and a member of our healthcare team will contact you after reviewing your results. I understand that information submitted by this form will be emailed to a medical professional at Sunrise Family Practice to review.
