ADAM Questionnaire

Do you have a decrease in libido (sex drive)?(Required)

Yes

No

Do you have a lack of energy?(Required)

Yes

No

Do you have a decrease in strength and/or endurance?(Required)

Yes

No

Have you lost height?(Required)

Yes

No

Have you noticed a decreased "enjoyment of life"?(Required)

Yes

No

Are you sad and/or grumpy?(Required)

Yes

No

Are your erections less strong?(Required)

Yes

No

Have you noticed a recent deterioration in your ability to play sports?(Required)

Yes

No

Are you falling asleep after dinner?(Required)

Yes

No

Has there been a recent deterioration in your work performance?(Required)

Yes

No

Adam Questionnaire