
AMS Questionnaire – Self test for Testosterone Symptoms
Think you have Low Testosterone?
Feeling down, feeling tired? Maybe it’s jus the job or maybe your Testosterone level.
Take this simple test to find out!
Which of the following symptoms apply to you at this time? Please, mark the appropriate box for each symptom.
For symptoms that do not apply, your score is ‘0’.
Symptoms: 1.none__2.mild__3.moderate__4.severe__5.extremely severe |
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Score =
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1
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2
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3
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4
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5
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1. | Decline in your feeling of general well-being (general state of health, subjective feeling) |
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2. | Joint pain and muscular ache (lower back pain, joint pain, pain in a limb, general back ache) |
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3. | Excessive sweating (unexpected/sudden episodes of sweating, hot flushes independent of strain) |
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4. | Sleep problems (difficulty in falling asleep, difficulty in sleeping through, waking up early and feeling tired, poor sleep, sleeplessness) |
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5. | Increased need for sleep, often feeling tired | |||||
6. | Irritability (feeling aggressive, easily upset about little things, moody) |
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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 swings, 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 sexually | |||||
16. | Decrease in the number of morning erections | |||||
17. | Decrease in sexual desire/libido (lacking pleasure in sex, lacking desire for sexual intercourse) |
Add up your total score.
If your score is:
- > 50 – it is likely your Testosterone level is low
- 37 – 49 – it is possible that your Testosterone level is low
- 27 – 36 – it is unlikely that your Testosterone level is low
- 17-26 – you do not have symptoms of low Testosterone
Need more advice?
Come down to Our Clinics for a discussion with Our Doctors, or call our clinics for more information:
Email: hello@dtapclinic.com.sg
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dr tan pls reply me in my email eddisontan@live.com
Dr..am unable to fill up your AMS Questionaires.
Hi David Siao,
Apologies. It is a print form and not an online form.
rgds
Dr Tan