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ADAM questionnaire about symptoms of low testosterone

(Androgen Deficiency in the Aging Male)

This basic questionnaire can be very useful for men to describe the kind and severity of their low testosterone symptoms. Once you answer the questions, you will be taken to a page where you can print out a report of your symptoms to take with you to the doctor.

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

The ADAM Questionnaire used with permission from Morley et al. Posted February 2004 Updated August 2009

26 South Main Street, PMB #162 . Concord, NH 03301 . Phone: 603 397-0103