Back to Forms Page
ADAM Questionnaire*

 

The androgen deficiency in aging males (ADAM) questionnaire has been shown to be highly effective for screening patients with potential testosterone deficiency.
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, endurance, or both? Yes No
4. Have you lost height? Yes No
5. Have you noticed a decreased enjoyment of life? Yes No
6. Are you sad, grumpy, or both? Yes No
7. Are your eretions 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
A "Yes" to questions 1 or 7, or any 3 questions in total, suggests the presence of testosterone deficiency. The diagnosis can be confirmed with a standard blood test.