Male Health Assessment

Take this free symptom checker form to help us understand how best to address your concerns.

Once the form is submitted, one of our medical staff members will follow up at a time convenient to you.

Name*

Symptom Checker

Please check any symptoms that are issues you would like addressed.
Loss of Energy/Fatigue
Irritable
Depressed
Loss of Sex Drive
Erectile Dysfunction
Loss of Drive and Competitive Edge
Decreased Effectiveness of Workouts
Stiffness and Pain in Muscles and Joints
Weight Gain/Inability to Lose Weight
Foggy Thinking
Poor Memory
Feel Cold
Dry Skin/Hair
Diffuse Pattern Hair Loss
Male Pattern Hair Loss
Insomnia- falling Asleep
Insomnia- staying Asleep
Stress
Night Sweats
Loss of Motivation
Feel Overwhelmed
Lack of Confidence
Loss of Motivation
Feel Overwhelmed
Sugar Cravings
Craving Salty Food
Hidden
Craving Salty Foods
Water Retention/Swelling
Oily Skin/Acne
Breast Tenderness
Consent*
This field is for validation purposes and should be left unchanged.