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FAQ
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Male Hormone Quiz

Select the severity of symptoms occurring currently or in the past 3 months

Low Testosterone/DHEA - Step 1 of 2

Has your sex drive decreased?

Yes
No

Have you noticed increased belly fat?

Yes
No

Have you noticed an increase in the size of your breasts?

Yes
No

Are you developing cellulite?

Yes
No

Have you had a decrease in self esteem?

Yes
No

Do you feel like flopping onto the couch after work?

Yes
No

Are your eyelids drooping?

Yes
No

Have you noticed that your hair is thinning?

Yes
No

Do you feel hypersensitive?

Yes
No

Are you gaining weight?

Yes
No

Are your muscles turning to flab?

Yes
No

Do you have high triglycerides, high LDL & low HDL?

Yes
No

Do you suffer from Erectile Dysfunction or decrease in hardness?

Yes
No

Do you have diminished Physical Performance?

Yes
No

First Name *

Last Name *

Email *

Phone *

What state do you reside in? *

Primary Health Concern *

I agree the quiz results are for informational purposes only and not designed to diagnose or treat my specific conditions. I consent to be added to the Rose Wellness free newsletter and be contacted by them.

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Location

2944 Hunter Mill Rd,

Suite 101

Oakton, VA 22124

Tel:(833)ROSEWEL

Fax: (571)210-4099

Office Hours

Monday to Thursday: 8.30 am – 3.30 pm
Friday : 8.30 am – 12.30 pm

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Rose Wellness Inc. provides management services and all clinical services are provided via Rose Medical Associates and other professional organizations.

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