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Tools / Quiz · ADAM questionnaire, Morley et al., 2000

Ten questions clinicians
actually use.

This is the ADAM questionnaire, published by Morley and colleagues in 2000 and still the most common symptom screen for androgen deficiency. It is sensitive but not specific: a positive screen means symptoms are consistent with low testosterone, and the next step is a morning blood test, not a prescription.

1. Do you have a decrease in libido (sex drive)?
2. Do you have a lack of 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 noticed 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?

ADAM SCREEN

Answer all tenthen press “See my result”
Yes answers—
Libido or erection item positive—

How it’s scored

Positive screen if: Yes to question 1 (libido) OR question 7 (erections) OR Yes to any three other questions. Reported sensitivity ~88%, specificity ~60% against bioavailable testosterone (Morley et al., 2000).

Assumptions and limits

  • High sensitivity and low specificity means many men screen positive without low testosterone: depression, poor sleep, overtraining and thyroid problems produce the same answers.
  • Diagnosis requires two morning total testosterone measurements plus, where indicated, free testosterone, LH and SHBG. The questionnaire cannot replace that.
  • The original instrument was validated in men over 40.
Read this first This tool does arithmetic on numbers you enter, or scores answers you give. It is not a diagnosis, a prescription or a treatment recommendation. Take the result to a licensed clinician.

The instrument behind this quiz

  1. Morley JE, Perry HM 3rd. Androgen deficiency in aging men.Med Clin North Am 1999.PubMed 10503065 · doi:10.1016/s0025-7125(05)70163-2
  2. Morley JE, Charlton E, Patrick P, et al.. Validation of a screening questionnaire for androgen deficiency in aging males.Metabolism 2000.PubMed 11016912 · doi:10.1053/meta.2000.8625
  3. Lee CP, Chen Y, Jiang KH, et al.. The prevalence and correlates of the positive Androgen Deficiency in the Aging Male (ADAM) questionnaire among psychiatric outpatients: a cross-sectional survey of 176 men in a general hospital in Taiwan.Neuropsychiatr Dis Treat 2015.PubMed 25653527 · doi:10.2147/NDT.S75701
  4. Mohamed O, Freundlich RE, Dakik HK, et al.. The quantitative ADAM questionnaire: a new tool in quantifying the severity of hypogonadism.Int J Impot Res 2010.PubMed 19657348 · doi:10.1038/ijir.2009.35
  5. Rabah DM, Arafa MA. Validation of an Arabic ADAM questionnaire for androgen deficiency screening in the Arab community.Aging Male 2009.PubMed 19909202 · doi:10.3109/13685530903265065
  6. Naz S, Mandhan N, Shankar P, et al.. Sensitivity, Specificity and Accuracy of Androgen Deficiency in Ageing Male (ADAM) Questionnaire for the Clinical Detection of Androgen Deficiency in the Male Population in Pakistan.Cureus 2020.PubMed 33409035 · doi:10.7759/cureus.11788

Literature retrieved from PubMed on October 18, 2026, favouring human studies and reviews. Numbered markers in the text show which paper supports which statement; uncited entries are background reading.

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