ADAM Questionnaire

Androgen Deficiency in Aging Males

This short questionnaire will help you assess your symptoms and understand your hormonal health. It takes about 2 minutes to complete.

1 of 14

What is your full name?

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2 of 14

What is your email address?

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3 of 14

What is your phone number?

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4 of 14

What is your date of birth?

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5 of 14

Decrease in libido (sex drive)

Rate the severity of your symptom

No symptom Severe
6 of 14

Lack of energy

Rate the severity of your symptom

No symptom Severe
7 of 14

Decrease in strength/endurance

Rate the severity of your symptom

No symptom Severe
8 of 14

Loss of height

Rate the severity of your symptom

No symptom Severe
9 of 14

Decreased enjoyment of life

Rate the severity of your symptom

No symptom Severe
10 of 14

Sad or grumpy mood

Rate the severity of your symptom

No symptom Severe
11 of 14

Less strong erections

Rate the severity of your symptom

No symptom Severe
12 of 14

Deterioration in sports ability

Rate the severity of your symptom

No symptom Severe
13 of 14

Falling asleep after dinner

Rate the severity of your symptom

No symptom Severe
14 of 14

Deterioration in work performance

Rate the severity of your symptom

No symptom Severe
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Thank You for Completing the Questionnaire

Your score: / 100

Your results suggest potential low testosterone levels. The next step? Order a blood test with Eden Clinic to confirm your results and gain deeper insights into your health.

Order your test kit now →

Take control of your wellness journey

✓

Thank You for Completing the Questionnaire

Your score: / 100

Your results indicate a normal range for testosterone levels. If you have any concerns or notice changes, our team at Eden Clinic is here to help.

Learn more about our services →