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We’ll use this to send your results and book your consultation. This assessment takes approximately 5 minutes to complete.
Age range
Select the one that matters most to you right now.
Would you like to add a secondary goal? (Optional)
Select all that apply to you.
Symptoms
Select one option.
Select the one that matters most.
This helps us ensure safe treatment options.
Are you taking any prescription medications?
Any supplements, hormones, or peptides?
Select any that apply to you.
Liver conditions?
Kidney disease?
Cardiovascular disease?
Chronic pain conditions?
Mental health conditions?
Currently being treated?
Sleep apnoea?
Do you smoke or vape?
Recreational drug use?
Do you consume alcohol?
How many standard drinks per week?
What's your activity level at work?
How often do you exercise?
What type of exercise?
How many hours of sleep per night?
Any sleep difficulties?
Do you use any sleep aids?
TRT requires blood test verification.
Have you had blood tests in the past 12 weeks?
Were they taken before 10am?
Were they taken fasting?
Have you had two separate low testosterone results?
Have you ever been diagnosed with any of the following?
Are you currently on TRT?
Upload your pre-TRT blood results (optional)
This helps our doctors understand your baseline levels.
TRT can affect fertility. Please answer honestly.
Are you planning to conceive in the next 12-18 months?
Have you previously fathered a child?
Do you understand that testosterone can suppress fertility?
Would you like to discuss fertility-preserving options?
Upload your testosterone blood test results.
Do you have testosterone bloods from the last 12 weeks?
Upload your blood test results
PDF or images accepted (max 10MB).
Do you track calories or macros?
What best describes your diet?
Just a couple more questions.
Support & Check-ins
We generally check in with all patients every 6 weeks to let the medication settle in, but you'll always have contact with us if you need it sooner.
Required for telehealth prescriptions in Australia. Your details are encrypted and stored securely.
Medicare Card Details
Photo ID (Driver's Licence)
Upload a clear photo of the front of your driver's licence. This is used to verify your identity for prescription medications.
Select all that apply.
Previous approaches
Any of the following apply?
This helps us tailor the safest and most effective plan.
What have you previously tried for weight loss?
What's your training like right now?
Openness to clinical support
How long has this been bothering you?
Pain level today: 5/10
Have you tried anything so far?
How long has this been going on?
Select all that matter to you.
By submitting, you agree we may contact you about your results and next steps.
