1 : Strongly disagree
2
3
4
5
6
7 : Strongly agree
¹
1
2
3
4
5
6
7
1
My motivation is lower when I am fatigued.
2
Exercise brings on my fatigue.
3
I am easily fatigued.
4
Fatigue interferes with my physical functioning.
5
Fatigue causes frequent problems for me.
6
My fatigue prevents sustained physical functioning.
7
Fatigue interferes with carrying out certain duties and responsibilities.
8
Fatigue is among my three most disabling symptoms.
9
Fatigue interferes with my work, family, or social life.
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.