➖ ADAM Questionnaire

Please 

The following questionnaire may help identify if you are experiencing low testosterone symptoms. 

(Androgen Deficiency in the Aging Male) : ADAM

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

You may have low testosterone if:

- You answered YES to questions #1 or #7.

- You answered YES to 3 or more questions.

Consult with a clinician to see if testosterone therapy is right for you.