ADAM (Androgen Deficiency in the Aging Male) Questionnaire

Fill out online or download & print to fill out offline.
Download & Print

  • Please answer each of the questions below by choosing 'yes' or 'no'.

  • The standard ADAM questionnaire consists of 10 ‘yes or no' questions concerning symptoms of androgen deficiency. These ‘yes' or ‘no' questions, though effective at identifying symptoms associated with androgen deficiency, offer no information about the severity of symptoms. We believe this questionnaire will allow our Body SymmetryMD practitioners to more accurately screen for earlier unrecognized androgen deficiency, as well as monitor patients' responses to treatment.