TT – ADAM – Questionnaire Step 1 of 2 – Informations personnelles 0% PERSONAL INFORMATIONSName(Required) First name Last name Email(Required) Date of birth(Required) YYYY slash MM slash DD Select your practitioner(Required)Dre Anne Isabelle DionneDre Evelyne Bourduas-RoyDre Nathaël Leduc Arbour QUESTIONARYCheck the symptoms felt in the last 6 months according to the proposed scale0 = no symptoms and 10 = many symptoms 1. Have you noticed a decrease in your libido (desire to have sex) or a decrease in your sexual performance?0123456789102. Did you feel a lack of energy or exhaustion?0123456789103. Have you noticed a decrease in muscle strength and endurance during effort?0123456789104. Have you experienced musculoskeletal pain after physical exertion?0123456789105. Have you noticed a decrease in your joie de vivre?0123456789106. Did you feel sad or grumpy?0123456789107. Have you noticed a decrease in the frequency of your morning erections?0123456789108. Did you experience hot flashes?0123456789109. Did you often fall asleep after meals?01234567891010. Have you noticed a recent decrease in your work capacity?012345678910CAPTCHA
