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. 2011 Jul 21;64(3):244–249. doi: 10.1016/S0377-1237(08)80105-0

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