I have a lack of energy.YesNo

I have trouble sleeping.YesNo

I have decreased sex drive.YesNo

I feel sad and/or depressed.YesNo

I have a decreased ability to play sports.YesNo

I have decreased strength and/or stamina and endurance.YesNo

My erections are less strong than they used to be.YesNo

I have foggy thinking and/or have trouble staying focused.YesNo

I've noticed a deterioration in my work performance.YesNo

I often have trouble keeping my mind on task.YesNo

I have experienced a concussion and have symptoms related to the injury.YesNo

My memory has been declining.YesNo

I'm not as "sharp" as I used to be.YesNo

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