Table 2.
Aging males symptoms questionaire
| 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, please mark ‘none’ | |
| 1. | Decline in your feeling of general well-being (general state of health, subjective feeling) |
| 2. | Joint pain and muscular ache (lower back pain, joint pain, pain in a limb, general backache) |
| 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 about 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; of having to force oneself to undertake activities) |
| 10. | Decrease in muscular strength (feeling of weakness) |
| 11. | Depressive mood (feeling of weakness) |
| 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) |
| Have you got any other major symptoms? | |
| If yes, please describe: Yes No | |
Scale : 1 = None, 2 = Mild, 3 = Moderate, 4 = Severe, 5 = Extremely severe
Severity of complaints : Scores : 17-26 : No complaints: 27-36 : few complaints; 37-49 : moderate complaints; >50: severe complaints