Self test questionnaire

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 over the internet.

For symptoms 1 - 17, select a value from the pulldown lists of between 1 and 5 to represent a severity range from none = 1, mild = 2, moderate = 3, severe = 4 extremely severe = 5.

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 by 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, 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 sexually
13. Feeling burnt out, having hit rock bottom
14. Decrease in beard growth
15. Decrease in ability and / or frequency to perform sexually
16. Decrease in the number of morning erections
17. Decrease in sexual desire / libido (lacking pleasure in sex, lacking desire for sexual intercourse)
18. Your age
Tick if you have ever had:- recent weight gain diabetes high alcohol intake adult mumps orchitis other testicular problems persistent urinary infection a prostate operation prostate inflammation vasectomy

Self test questionnaire

1. Decline in your feeling of general well-being

2. Joint pain and muscular ache

3. Excessive sweating

4. Sleep problems

5. Increased need for sleep, often feeling tired

6. Irritability

7. Nervousness

8. Anxiety

9. Physical exhaustion / lacking vitality

10. Decrease in muscular strength

11. Depressive mood

12. Feeling that you have passed your peak sexually

13. Feeling burnt out, having hit rock bottom

14. Decrease in beard growth

15. Decrease in ability and / or frequency to perform sexually

16. Decrease in the number of morning erections

17. Decrease in sexual desire / libido

18. Your age

Tick if you have ever had:-