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Men's Testosterone Health — Clinical Screening

ADAM Questionnaire
Androgen Deficiency in the Aging Male

The clinically validated 10-question screening tool for low testosterone — developed at Saint Louis University. Answer Yes or No to find out if androgen deficiency may be affecting your health, performance, and quality of life.

~2 minutes HIPAA secure Instant results Clinically validated
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How the ADAM Questionnaire Works

Answer each of the 10 questions Yes or No based on your experience over the past month. Questions 1 and 7 carry extra clinical weight — a single Yes to either is enough to indicate a positive screen. The ADAM questionnaire was developed and validated at Saint Louis University and is used by physicians worldwide to identify men who may benefit from testosterone evaluation.

Positive: YES on Q1 or Q7 OR YES on any 3 other questions
Energy, Mood & Drive
How testosterone affects how you feel day-to-day
KEY
Do you have a decrease in libido (sex drive)?
A single Yes here is enough for a positive screen — decreased libido is the #1 indicator of androgen deficiency
Do you have a lack of energy?
Persistent fatigue, low stamina, or feeling drained even after adequate rest
Have you noticed a decreased enjoyment of life?
Less pleasure or interest in activities you previously enjoyed; reduced motivation or sense of purpose
Are you sad and/or grumpy?
Unexplained low mood, irritability, or feeling emotionally flat without clear cause
Are you falling asleep after dinner?
Dozing off unexpectedly in the evening or struggling to stay awake after meals
Physical Performance & Body
Strength, endurance, and physical capacity
Do you have a decrease in strength and/or endurance?
Noticeably reduced ability to lift, carry, or sustain physical effort compared to before
Have you lost height?
A measurable reduction in stature — may indicate bone density loss associated with low testosterone
Have you noticed a decrease in your ability to play sports or exercise?
Significant decline in athletic performance, exercise capacity, or recovery time
Sexual Function & Work Performance
The two highest-weight ADAM screening indicators
KEY
Are you having trouble achieving or maintaining erections?
Difficulty with erection frequency, firmness, or duration — the second primary ADAM screening indicator alongside Q1
Has there been a recent deterioration in your ability to work?
Declining concentration, productivity, cognitive sharpness, or motivation at work
Your Information
Patient Authorization & HIPAA Notice

By submitting this questionnaire, I authorize Body Symmetry MD and its affiliated providers to use and disclose my health information as described in their Notice of Privacy Practices, and as otherwise permitted by law. My information will be used solely for the purpose of evaluating my symptoms and providing healthcare recommendations.

I understand that this questionnaire is a screening tool and does not constitute a medical diagnosis. I consent to being contacted by Body Symmetry MD regarding my results and potential treatment options. I acknowledge that I have read and agree to the Privacy Policy and Terms of Service.

Body Symmetry MD complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. This form is protected under HIPAA regulations.
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Your ADAM Screen Result

Your Answers — Question by Question

What Your Results Mean

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Clinical Information

Frequently Asked Questions

Evidence-based answers about the ADAM questionnaire, low testosterone, and TRT at Body Symmetry MD.

The ADAM (Androgen Deficiency in the Aging Male) questionnaire is a validated 10-question clinical screening tool developed at Saint Louis University by Dr. John Morley. A positive screen occurs when a man answers Yes to question 1 (decreased libido) or question 7 (erectile difficulties), or Yes to any 3 or more of the 10 questions.

Common symptoms include decreased sex drive, low energy, reduced muscle strength and endurance, increased abdominal fat, depressed or irritable mood, difficulty achieving or maintaining erections, poor sleep quality, brain fog, decreased motivation, and declining physical and work performance.

The ADAM questionnaire screens positive if you answer Yes to question 1 or question 7, OR Yes to any 3 or more of the 10 questions. A positive screen warrants lab testing and physician evaluation — it is not a diagnosis.

Body Symmetry MD recommends a free consultation with one of our physicians. Your provider will order a comprehensive hormone panel including total testosterone, free testosterone, estradiol, LH, FSH, and SHBG. A personalized TRT plan is developed from these results.

Testosterone peaks in the late teens and declines roughly 1 percent per year after age 30. Clinically significant low testosterone is most common in men over 40 but can affect younger men due to obesity, chronic stress, or underlying conditions.

TRT under physician supervision has an established safety profile for men with clinical hypogonadism. Body Symmetry MD uses bio-identical testosterone customized to each patient's labs and symptoms, with ongoing monitoring. Most men report improvement in energy, libido, and mood within 4 to 8 weeks.

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