Adam Questionairre

Adam Questionairre

ADAM questionnaire about symptoms of low testosterone(Androgen Deficiency in the Aging Male)
Name

First NameLast Name
DOB (EXAMPLE 01/11/2011)

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

Rows	YES	NO
DO YOU HAVE A DECREASE IN LIBIDO OR SEX DRIVE?
Do you have a lack of energy?
Do you have a decrease in strength and/or endurance?
Have you lost height?
Have you noticed a decreased "enjoyment of life"?
Are you sad and/or grumpy?
Are your erections less strong?
Have you noticed a recent deterioration in your ability to play sports?
Are you falling asleep after dinner?
Has there been a recent deterioration in your work performance?

If you answer Yes to number 1 or 7 or if you answer Yes to more than 3 questions,
you may have low Testosterone
Should be Empty: