1. Do you have a decrease in libido or 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 weight?
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?

A positive ADAM questionnaire was defined as “yes” for question 1 and 7, and 2–4 for all other items.