Low T Quiz

Vitality taking a hit? It may be ‘Low T?’ Take our confidential quiz.

When you hit “continue” it will create a report that you can print and bring to your FREE consultation at LifePlus MD.

First Name
Last Name
Email
Phone
Do you have a decrease in libido (sex drive)?

Do you have a decrease in libido (sex drive)? Yes No
Do you have a lack of energy?

Do you have a lack of energy? Yes No
Are your erections less strong?

Are your erections less strong? Yes No
Do you have a decrease in strength and/or endurance?

Do you have a decrease in strength and/or endurance? Yes No
Have you noticed a decrease in your enjoyment of life?

Have you noticed a decrease in your enjoyment of life? Yes No
Are you sad or irritable?

Are you sad or irritable? Yes No
Do you have problems with memory or concentration?

Do you have problems with memory or concentration? Yes No
Have you noticed a recent decline in your athletic ability?

Have you noticed a recent decline in your athletic ability? Yes No
Do you fall asleep early, after eating dinner?

Do you fall asleep early, after eating dinner? Yes No
Do you have problems with insomnia/staying asleep?

Do you have problems with insomnia/staying asleep? Yes No
If you answered "yes" to at least three of the above questions, your symptoms may be caused by Low T. Print your results and call LifePlus MD to schedule your FREE consultation. We can discuss your symptoms and determine if the cause may be low testosterone (Low T).
Communication Authorizations

Communication Authorizations I authorize LifePlus MD to contact me via email for practice-related updates. I understand that while LifePlus MD will take appropriate measures to protect my privacy, email communication may not be fully secure. I acknowledge this risk and consent to receiving email communications as outlined. I authorize LifePlus MD to contact me via text message (SMS) for practice communications. I understand that message and data rates may apply and that text messaging is not a fully secure form of communication. I acknowledge these risks and may withdraw my consent at any time by notifying LifePlus MD.

Low T Quiz

Low T Quiz

Vitality taking a hit? It may be ‘Low T?’ Take our confidential quiz.

If you answered "yes" to at least three of the above questions, your symptoms may be caused by Low T. Print your results and call LifePlus MD to schedule your FREE consultation. We can discuss your symptoms and determine if the cause may be low testosterone (Low T).