For each question CIRCLE the number that best applies to your experience with that symptom over the past 3 months.
0 - Never or rarely – It is rare to experience this symptom.
1 - Occasionally – Once in awhile you may experience this – maybe once or twice a month.
2 - Often – You experience this 1-2 times a week, enough that it bothers you.
3 - Regularly – You are constantly aware of this as it occurs almost every day or weekly.
GROUP 10 (M): Male Only
263. Prostate issues
264. Urination difficult or dribbling
265. Night urination frequent
266. Depression
267. Pain on inside of legs or heels
268. Feeling of incomplete bowel evacuation
269. Lack of energy
270. Migrating aches and pains
271. Tire too easily
272. Avoids activity
273. Diminished sex drive
274. Erectile dysfunction
Total Score for Group 10M
