The AMS questionnaire (developed and validated by Professor Lothar Heinemann) is used frequently by doctors in the diagnosis of testosterone deficiency and monitoring of treatment, based on the total score. If you wish to answer these questions, the total score will be calculated for you. Please note that we are unable to provide medical advice for non-registered patients.
Click here if you wish to contact the CMH.
The results from this questionnaire will be used anonymously to further our studies of the frequency of testosterone deficiency. It would be helpful to the cause of Men's Health if you would permit us to use the data only.
Which of the following symptoms apply to you at this time? Please, mark the appropriate box for each symptom.
1
Decline in your feeling of general well-being
2
Joint pain and muscular ache (Lower back pain, joint pain, pain in a limb, general back ache)
3
Excessive Sweating (Unexpected/Sudden episodes of sweating, hot flushes independent of strain)
4
Sleep Problems (difficulty in falling asleep, difficulty in sleeping through, waking up early and feeling tired, poor sleep, sleeplessness)
5
Increased need for sleep, often feeling tired
6
Irritability (Feeling aggressive, easily upset about little things, moody)
7
Nervousness (Inner tension, restlessness, feeling fidgety)
8
Anxiety (Feeling panicky)
9
Physical exhaustion / lacking vitality (general decrease in performance, reduced activity, lacking interest in leisure activities, feeling of getting less done, of achieving less, of having to force oneself to undertake activities)
10
Decrease in muscular strength (feeling of weakness)
11
Depressive mood (feeling down, sad, on the verge of tears, lack of drive, mood swing, feeling nothing is of any use)
12
Feeling that you have passed your peak
13
Feeling burnt out, having hit rock-bottom
14
Decrease in beard growth
15
Decrease in ability/frequency to perform sexualty
16
Decrease in the number of morning erections
17
Decrease in sexual desire/libido (lacking pleasure in sex, lacking desire for sexual intercourse)
18
Have you had (Tick as many that apply)
The results from this questionnaire will be used anonymously to further our survey of men’s health.
Tick here if you do not wish this information to be included in our research.
Severity of complaints:
17-26 No
27-36 Little
37-49 Moderate
50 or more Severe