Adam Questionnaire

Welcome to your Adam Questionnaire

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Last Name
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1: Do you have a decrease in libido (sex drive)?

2: Do you lack energy?

3. Do you have a decrease in strength and/or endurance?

4: Have you lost height?

5: Have you noticed a decreased “enjoyment of life”?

6: Are you sad and/or grumpy?

7: Are your erections less strong?

8: Have you noted a recent deterioration in your ability to play sports?

9: Are you falling asleep after dinner?

10: Has there been a recent deterioration in your work performance?

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