TRT Treatment Eligibility Quiz

These 10 questions will help determine if HRT is right for you. If you're eligible, you'll have the opportunity to schedule a risk-free personalized hormone therapy consultation.

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What is your biological sex? *

Please select your age group *

sex? you any

Are you currently experiencing any of the following symptoms? (Select all that apply) *

Mood Swings or Irritability
Fatigue or Sleep Disturbances
Decreased Libido or Erectile Dysfunction
Memory Problems or Difficulty Concentrating
Weight Gain or Difficulty Losing Weight
Decreased Muscle Mass or Strength
Joint or Muscle Pain
Hair Loss or Thinning Hair

Have you ever been diagnosed with any of the following conditions? (Select all that apply) *

Low Testosterone (Hypogonadism)
Thyroid Disorder
Osteoporosis or Low Bone Density
Diabetes
Blood Clots
Cardiovascular / Heart Disease
Prostate Cancer
None of the above

Are you currently using any treatments or medications to manage your symptoms? (Select all that apply) *

Herbal Supplements (e.g., Saw Palmetto, Ginseng)
Antidepressants or Anxiety Medications
Sleep Aids (e.g., Melatonin, Prescription Sleep Medications)
Pain Relievers (e.g., NSAIDs like Ibuprofen, Acetaminophen)
Erectile Dysfunction Medications (e.g., Sildenafil, Tadalafil)
Over-the-Counter Supplements (e.g., DHEA, Zinc)
Hair Loss Treatments (e.g., Finasteride, Minoxidil)
None of the above

How would you describe your overall lifestyle? *

Sedentary
Moderately Active
Highly Active

How would you rate your current emotional well-being on a scale of 1 to 10?

Selected Value: 5

(1 being low and 10 being great)

How would you rate your current level of energy and motivation on a scale of 1 to 10?

Selected Value: 5

(1 being low and 10 being great)

How interested are you in learning more about HRT as a potential treatment option for your symptoms? *

Very Interested
Somewhat Interested
Not Interested
Not Sure

Final Step: Enter your contact information to receive your free TRT evaluation. If you choose, you may also schedule a risk free consultation with a member of our team to receive advice tailored to your symptoms.

Name *

Email *

Phone *

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