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.
Your Age:
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
None
Mild
Moderate
Severe
Extremely Severe
2
Joint pain and muscular ache (Lower back pain, joint pain, pain in a limb, general back ache)
None
Mild
Moderate
Severe
Extremely Severe
3
Excessive Sweating (Unexpected/Sudden episodes of sweating, hot flushes independent of strain)
None
Mild
Moderate
Severe
Extremely Severe
4
Sleep Problems (difficulty in falling asleep, difficulty in sleeping through, waking up early and feeling tired, poor sleep, sleeplessness)
None
Mild
Moderate
Severe
Extremely Severe
5
Increased need for sleep, often feeling tired
None
Mild
Moderate
Severe
Extremely Severe
6
Irritability (Feeling aggressive, easily upset about little things, moody)
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)
None
Mild
Moderate
Severe
Extremely Severe
10
Decrease in muscular strength (feeling of weakness)
None
Mild
Moderate
Severe
Extremely Severe
11
Depressive mood (feeling down, sad, on the verge of tears, lack of drive, mood swing, feeling nothing is of any use)
None
Mild
Moderate
Severe
Extremely Severe
12
Feeling that you have passed your peak
None
Mild
Moderate
Severe
Extremely Severe
13
Feeling burnt out, having hit rock-bottom
None
Mild
Moderate
Severe
Extremely Severe
14
Decrease in beard growth
None
Mild
Moderate
Severe
Extremely Severe
15
Decrease in ability/frequency to perform sexualty
None
Mild
Moderate
Severe
Extremely Severe
16
Decrease in the number of morning erections
None
Mild
Moderate
Severe
Extremely Severe
17
Decrease in sexual desire/libido (lacking pleasure in sex, lacking desire for sexual intercourse)
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
-
The Information on this site is provided for information only,
and is not meant to substitute the advice of your own physician or other medical professional.
CHITS UK Ltd.