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11 Question TRT/Peptide Quiz

What state do you live in? (needed to find top clinics near you)

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How old are you?

*

How old are you?

A

18-24

B

25-34

C

35-44

D

45-54

E

55-64

F

65+

In the past month, how often have you felt low on energy or fatigued even after a full night’s sleep?

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In the past month, how often have you felt low on energy or fatigued even after a full night’s sleep?

A

Never

B

Rarely

C

Sometimes

D

Often

E

Always

How would you rate your sex drive in the past month?

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How would you rate your sex drive in the past month?

A

Strong and normal

B

Slightly lower than before

C

Noticeably decreased

D

Significantly reduced/almost none

Do you get regular morning erections?

*

Do you get regular morning erections?

A

Yes

B

No

How often do you have trouble maintaining erections?

*

How often do you have trouble maintaining erections?

A

Never

B

Sometimes

C

Most of the time

D

All the time

How has your mood, motivation, and irritability been lately?

*

How has your mood, motivation, and irritability been lately?

A

Great/normal

B

Mildly off (sometimes grumpy and unmotivated)

C

Noticeably lower drive and mood

D

Significantly affected (depressed, foggy, low motivation)

How have your strength levels, muscle recovery, and endurance felt?

*

How have your strength levels, muscle recovery, and endurance felt?

A

Strong and recovering well

B

Slight decrease in strength and recovery

C

Noticeably decreased strength/endurance

D

Major loss of muscle or extremely slow recovery

Have you noticed stubborn belly fat or difficulty losing weight despite healthy habits?

*

Have you noticed stubborn belly fat or difficulty losing weight despite healthy habits?

A

No

B

A little

C

Yes, it's gotten worse

D

Very stubborn/gaining despite effort

How long have these symptoms (low energy, sex drive, recovery issues, etc.) been affecting you?

A

Less than 3 months

B

3-6 months

C

8-12 months

D

1+ years

Are you open to getting bloodwork and possibly testosterone or peptide therapy from a top licensed clinic if see fit?

*

Are you open to getting bloodwork and possibly testosterone or peptide therapy from a top licensed clinic if see fit?

A

Yes, for sure

B

Probably/open to it

C

Not sure

D

No, definitely not

First name

*

Last name

*

What is your email?

*

Phone number?

*