1. I had to nap during the day because of fatigue
   1. None of the time
   2. Some of the time
   3. Often
   4. Most of the time
   5. All of the time
2. Fatigue stopped me from going out to social events
   1. None of the time
   2. Some of the time
   3. Often
   4. Most of the time
   5. All of the time
3. I was not able to go to work or college because of fatigue
   1. None of the time
   2. Some of the time
   3. Often
   4. Most of the time
   5. All of the time
   6. Not applicable
4. My performance at work or education was affected by fatigue
   1. None of the time
   2. Some of the time
   3. Often
   4. Most of the time
   5. All of the time
   6. Not applicable
5. I had problems concentrating because of fatigue
   1. None of the time
   2. Some of the time
   3. Often
   4. Most of the time
   5. All of the time
6. I had difficulty motivating myself because of fatigue
   1. None of the time
   2. Some of the time
   3. Often
   4. Most of the time
   5. All of the time
7. I could not wash and dress myself because of fatigue
   1. None of the time
   2. Some of the time
   3. Often
   4. Most of the time
   5. All of the time
8. I had difficulty with walking because of fatigue
   1. None of the time
   2. Some of the time
   3. Often
   4. Most of the time
   5. All of the time
9. I was unable to drive as much as I need to because of fatigue
   1. None of the time
   2. Some of the time
   3. Often
   4. Most of the time
   5. All of the time
   6. Not applicable
10. I was not able to do as much physical exercise as I wanted to because of fatigue
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
11. I had difficulty continuing with my hobbies/interests because of fatigue
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
12. My emotional relationship with my partner was affected by fatigue
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
    6. Not applicable
13. My sexual relationship with my partner was affected by fatigue
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
    6. Not applicable
14. My relationship with my children was affected by fatigue
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
    6. Not applicable
15. I was low in mood because of fatigue
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
16. I felt isolated because of fatigue
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
17. My memory was affected because of fatigue
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
18. I made mistakes because of fatigue
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
19. Fatigue made me irritable
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
20. Fatigue made me frustrated
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
21. I got words mixed up because of fatigue
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
22. Fatigue stopped me from enjoying life
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
23. Fatigue stopped me from having a fulfilling life
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
24. My self-esteem was affected by fatigue
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
25. Fatigue affected my confidence
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
26. Fatigue made me feel unhappy
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
27. I had difficulties sleeping at night because of fatigue
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
28. Fatigue affected my ability to do all my normal household activities
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
29. I had to ask others for help because of fatigue
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time
30. The quality of my life was affected by fatigue
    1. None of the time
    2. Some of the time
    3. Often
    4. Most of the time
    5. All of the time

Your Score: 0/120

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