1 – Never
2 – Sometimes
3 – Regularly
4 – Often
5 – Always
¹
1
2
3
4
5
1
I am bothered by fatigue.
2
I get tired very quickly.
3
I don't do much during the day.
4
I have enough energy for everyday life.
5
Physically, I feel exhausted.
6
I have problems starting things.
7
I have problems thinking clearly.
8
I feel no desire to do anything.
9
Mentally, I feel exhausted.
10
When I am doing something, I can concentrate quite well.
The presented answer sheet is not an original form and is not intended for printing or use as a handout.
The answer numbers are used only to label response columns. They are NOT scores and should not be used for calculating results.