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ADAM Questionnaire - *Print this sheet and take the test.

(Androgen Deficiency in the Aging Male)

 

This basic ADAM questionnaire about symptoms of low testosterone can be very useful for men to describe the kind and severity of their low testosterone condition.

1. Do you have a decrease in libido (sex drive)?

 

Yes

No

 

2. Do you have a lack of energy?

Yes

No

 

3. Do you have a decrease in strength and/or endurance?

Yes

No

 

4. Have you lost height?

Yes

No

 

 

5. Have you noticed a decreased "enjoyment of life"?

Yes

No

 

6. Are you sad and/or grumpy?

Yes

No

 

7. Are your erections less strong?

Yes

No

 

8. Have you noticed a recent deterioration in your ability to
play sports?

Yes

No

 

9. Are you falling asleep after dinner?

Yes

No

 

10. Has there been a recent deterioration in your work
performance?

Yes

No

 

 

 

If you Answered "Yes" to question number 1 and number 7 or if you answered "Yes" to more than 3 questions, you may have low Testosterone.

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