ADAM Questionnaire

Full Name

Email Address

Date of Birth

Could you have low testosterone?

This short questionnaire helps identify whether your symptoms may be associated with low testosterone levels. It takes less than 2 minutes to complete.

It is not a diagnosis. Your answers will give you an indication of whether a full clinical assessment may be right for you. A positive result means further assessment is recommended — it does not confirm you have low testosterone.

This questionnaire is provided by PrimeLife as a screening tool only and does not replace a clinical assessment or blood testing.