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MALE HEALTH
See Where We Can Help You
LET’S TALK. MAN TO MAN.
(210) 263-9878
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December 5, 2015
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Contact Us
Your Name
*
Phone
*
Email
*
Which Treatment?
*
Which Treatment?
Erectile Dysfunction
Premature Ejaculation
Low Testosterone
Low T & ED
Weight Loss
How did you hear about us?
*
How did you hear about us?
Newspaper
Radio
TV
Internet Search
Social Media
Billboard
Friend/Family Member
Please check one
SA Express
Boerne Star
Other
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KISS 99.5
KONO 101.1
THE EAGLE 106.7
WOAI 1200
Other
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Daytime at 9
Great Day SA
SA Live
SA Living
Other
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Google
Yahoo
Other
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Facebook
Instagram
Twitter
Other
Comments
Phone
This field is for validation purposes and should be left unchanged.
Δ
WHICH PROGRAM SUITS YOU?
TAKE THE TEST
QUESTION 1 I would describe my sexual desire as:
*
Healthy and often
Occasional
A rare occurrence
Non-existent
QUESTION 2
*
My mood in general is:
Positive and upbeat
Occasionally frustrated
Increasingly more frustrated
Depressed
QUESTION 3
*
My energy level is
Very energetic
Occasionally tired
Often tired
Too fatigued for many activities
QUESTION 4
*
My age is:
Under 40
40 to 50
50 to 60
60 or above
QUESTION 5
*
An accurate description of my weight is:
Normal
Overweight
Obese
Underweight
QUESTION 6
*
I exercise
Frequently
Occasionally
Rarely
Never
QUESTION 7
*
A good description of my overall stress level is:
Very low
Average
Slightly above average
Above average
QUESTION 8
*
My sleep patterns fit the following description:
I sleep all night and wake up well rested.
I sleep all night but may wake up tired
I have some trouble sleeping
I have severe sleeping problems
QUESTION 9
*
My overall health can be summed up this way:
I'm as strong as a bear
I get sick every now and then
I get sick often
I have multiple chronic illnesses including high blood pressure
QUESTION 10
*
I have type 2 diabetes:
yes
no
FullName
*
Mobile
*
Email
*
How did you hear about us?
*
Please select one
Newspaper
Radio
TV
Internet Search
Social Media
Billboard
Friend/Family Member
Newspaper
*
Please select one
SA Express
Boerne Star
Other
Radio
*
Please select one
KISS 99.5
KONO 101.1
The Eagle 106.7
WOAI 1200
TV
*
Please select one
Daytime at 9
Great Day SA
SA Live
SA Living
Other
Internet Search
*
Please select one
Google
Yahoo
Other
Social Media
*
Please select one
Facebook
Instagram
Twitter
Other
Hidden
SkillsInterest
Comments
This field is for validation purposes and should be left unchanged.
Δ
QUESTION 1
I would describe my sexual desire as:
Healthy and often
Occasional
A rare occurrence
Non-existent
❭
QUESTION 2
My mood in general is:
Positive and upbeat
Occasionally frustrated
Increasingly more frustrated
Depressed
❬
❭
QUESTION 3
My energy level is:
Very energetic
Occasionally tired
Often tired
Too fatigued for many activities
❬
❭
QUESTION 4
My age is:
Under 40
40 to 50
50 to 60
60 or above
❬
❭
QUESTION 5
An accurate description of my weight is:
Normal
Overweight
Obese
Underweight
❬
❭
QUESTION 6
I exercise
Frequently
Occasionally
Rarely
Never
❬
❭
QUESTION 7
A good description of my overall stress level is:
Very low
Average
Slightly above average
Above average
❬
❭
QUESTION 8
My sleep patterns fit the following description:
I sleep all night and wake up well rested.
I sleep all night but may wake up tired
I have some trouble sleeping
I have severe sleeping problems
❬
❭
QUESTION 9
My overall health can be summed up this way:
I'm as strong as a bear
I get sick every now and then
I get sick often
I have multiple chronic illnesses including high blood pressure
❬
❭
QUESTION 10
I have type 2 diabetes:
yes
no
❬
❭
Your Details
Please fill in the required field.
How did you hear about us?*
Newspaper
Radio
TV
Internet Search
Social Media
Billboard
Friend/Family Member
Please select one.
SA Express
Boerne Star
Other
Please select one.
KISS 99.5
KONO 101.1
The Eagle 106.7
WOAI 1200
Please select one.
Daytime at 9
Great Day SA
SA Live
SA Living
Other
Please select one.
Google
Yahoo
Other
Please select one.
Facebook
Instagram
Twitter
Other
Please Contact Us!
❬
❭
Your Results
Benefits of the HGH REV PROGRAM:
Increased Sex-Drive
Positive increase in Mood Levels
Increased Muscle Mass
Reduction in Body Fat
Read More