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Client Questionnaire
Collect helpful information to better prepare you to call on prospective clients.
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1
Do you have decreased libido?
YES
NO
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2
Have you felt a recent deterioration in your work performance?
YES
NO
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3
Are you falling asleep after dinner?
YES
NO
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4
Do you have lack of energy or motivation?
YES
NO
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5
Have you noticed a recent deterioration in your ability to play sports?
YES
NO
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6
Are you grumpy or sad?
YES
NO
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7
Have you noticed a decreased enjoyment in life?
YES
NO
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8
Have you lost height?
YES
NO
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9
Do you have a decrease in strength or endurance?
YES
NO
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10
Are your erections less strong?
YES
NO
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11
Total Score
Continue with email to receive explanation of results
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12
Email
example@example.com
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