| |
Never
0 |
Sometimes
1 |
Regularly
2 |
Often
3 |
1. My hair is thinning |
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|
|
2. My cheeks sag |
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|
|
3. My gums are receding |
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|
4. My abdomen is flabby |
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5. My muscles are smaller |
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|
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6. My skin is thin |
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|
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7. My skin is dry |
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8. I have more wrinkles |
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9. Its harder to recover after physical activity |
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10. The world is less friendly |
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| |
Never
0 |
Sometimes
1 |
Regularly
2 |
Often
3 |
11. I prefer to isolate myself from the world |
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12. I am anxious |
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13. I feel more worried |
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14. I am more fatigued or tired |
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15. I have decreased muscle strength |
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16. My sex drive has decreased or feel like making love
less often |
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17. I am more irritable |
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18. My sleep is not satisfactory |
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19. My sexual performance is poorer than it used to be |
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20. My sense of well being has been reduced |
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|
|
| |
Never
0 |
Sometimes
1 |
Regularly
2 |
Often
3 |
21. I have less energy |
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22. I am more emotional |
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23. My work performance has decreased |
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24. I am more moody |
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25. I am depressed |
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26. I am fatter |
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27. My muscles have gotten smaller or lost tone |
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28. I am less strong |
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29. I am less confident and more hesitant |
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30. My sense of well being has decreased |
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| |
Never
0 |
Sometimes
1 |
Regularly
2 |
Often
3 |
31. I have less ability to exercise |
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32. My mental function seems poorer |
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33. My memory is worse |
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34. I get sick more often |
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35. I heal slower |
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36. I recover slower |
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37. I have less sexual energy |
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38. I am more sensitive |
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39. I look older |
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40. My vision has decreased |
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| |
Never
0 |
Sometimes
1 |
Regularly
2 |
Often
3 |
| If you are 40 or less you are at satisfactory
levels. A total of above 40 could mean growth hormone deficiency,
low testosterone, or both. A score of 80 or higher carries a higher probability of hormone deficiency. It is possible you carry a diagnosis
of Andropause, Hypogonadism, Adult Onset Growth Hormone Deficiency
Syndrome, or some other endocrine or hormone deficiency problem. |
