Men’s MOT questionnaire

Please complete the questionnaire below to help your doctor review your health.

Tick the answer to all questions; even if you do not think the sections apply to you, it all helps to get a picture of you and your health, we will ask you to answer questions relating to testosterone, prostate and mental health.

You can also add questions that you might have to want you GP to address during the medical – this all helps your GP to “hit the ground running”