Low T Self-Assessment 📋✨
Evaluate your symptoms and consider a medical consultation if needed.
If medically appropriate, how soon would you like to begin treatment?
ASAP
Within 1–2 weeks
Just gathering information
Which option is most appealing?
Office visit
Local laboratory
Home/business concierge service
Not sure yet
How often do you feel unusually tired, low on energy, or less motivated than you used to?
*
Never (0)
Rarely (1)
Sometimes (2)
Often (3)
Very Often (4)
How often have you noticed a decrease in sex drive or sexual interest?
*
Never (0)
Rarely (1)
Sometimes (2)
Often (3)
Very Often (4)
How often do you feel mentally less sharp, foggy, or have difficulty concentrating?
*
Never (0)
Rarely (1)
Sometimes (2)
Often (3)
Very Often (4)
How often have you noticed reduced physical strength, endurance, or exercise recovery?
*
Never (0)
Rarely (1)
Sometimes (2)
Often (3)
Very Often (4)
How often do you feel less confident, more irritable, or simply “not like yourself”?
*
Never (0)
Rarely (1)
Sometimes (2)
Often (3)
Very Often (4)
Are you currently using testosterone therapy?
Yes
No
Previously, but stopped
Score
SCORING Total possible: 0–20 0–4 Low likelihood of significant symptoms Your responses do not strongly suggest symptoms commonly associated with testosterone deficiency. 5–9 Mild symptom burden Some of your symptoms may be associated with low testosterone, though many other causes are possible. 10–14 Moderate symptom burden Your responses suggest symptoms that may be associated with testosterone deficiency. Medical evaluation and laboratory testing may be worth considering. 15–20 Higher symptom burden
First Name
*
Mobile Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Preferred contact method
Text
Phone
Email
Submit Assessment
Should be Empty: