ADAM Questionnaire

  • ADAM Questionnaire: Assessing Symptoms of Low Testosterone

    This brief self-assessment helps identify symptoms that may be associated with low testosterone (Androgen Deficiency in the Aging Male). It’s designed to support discussions with your healthcare provider.
  • Format: (000) 000-0000.
  • 1. Do you have a decrease in libido (sex drive)?*
  • 2. Do you have a lack of energy?*
  • 3. Do you have a decrease in strength and/or endurance?*
  • 4. Have you lost height?*
  • 5. Have you noticed a decreased "enjoyment of life"?*
  • 6. Are you sad and/or grumpy?*
  • 7. Are your erections less strong?*
  • 8. Have you noticed a recent deterioration in your ability to play sports?*
  • 9. Are you falling asleep after dinner?*
  • 10. Has there been a recent deterioration in your work performance?*

  • Disclaimer: This questionnaire is for informational purposes only and does not constitute a medical diagnosis. Your responses will be reviewed by a licensed provider at Euphoria Wellness. If you answer “Yes” to question 1 or 7, or to more than three questions total, you may be experiencing symptoms of low testosterone.

  • Should be Empty: