Self-Assessment

Fatigue self-assessment

"*" indicates required fields

Step 1 of 11 –

9%

Your name*

The following questions refer to how you usually feel. Select ‘Next’ to start…

I am bothered by fatigue*

Never

Sometimes

Regularly

Often

Always

I get tired very quickly*

Never

Sometimes

Regularly

Often

Always

I don't do much during the day*

Never

Sometimes

Regularly

Often

Always

I have enough energy for everyday life*

Never

Sometimes

Regularly

Often

Always

Physically, I feel exhausted*

Never

Sometimes

Regularly

Often

Always

I have problems starting things*

Never

Sometimes

Regularly

Often

Always

I have problems thinking clearly*

Never

Sometimes

Regularly

Often

Always

I feel no desire to do anything*

Never

Sometimes

Regularly

Often

Always

Mentally, I feel exhausted*

Never

Sometimes

Regularly

Often

Always

When I am doing something, I can concentrate quite well*

Never

Sometimes

Regularly

Often

Always

Hidden

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Hidden

screening_position

Hidden

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Hidden

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Phone

This field is for validation purposes and should be left unchanged.

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