II. Indications

III. Inventory

  1. Scale: 0 (none) to 10 (severe)
  2. Questions (based on initial complaint of Fatigue)
    1. Rate your level of Fatigue on a scale of 0 to 10
      1. Rate your current Fatigue
      2. Rate your usual Fatigue level in last 24 hours
      3. Rate your worst level of Fatigue in last 24 hours
    2. Rate how Fatigue has interfered with the following:
      1. General activity
      2. Mood
      3. Walking ability
      4. Normal work (includes home chores)
      5. Relations with other people
      6. Enjoyment of life

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