Choose a response that best describes the tiredness or fatigue you are experiencing now or for today.
If you are not experiencing fatigue now, fill in "0" for your response.
1 To what degree is the fatigue you are feeling now  causing you distress?
No Distress
A Great Deal
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2 To what degree is the fatigue you are feeling now interfering with your ability to complete your work or school activities?
None
A Great Deal
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Please make a selection.
3 To what degree is the fatigue you are feeling now interfering with your ability to socialize with your friends?
None
A Great Deal
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Please make a selection.
4 To what degree is the fatigue you are feeling now interfering with your ability to engage in sexual activity?
None
A Great Deal
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Please make a selection.
5 Overall, how much is the fatigue which you are now experiencing interfering with your ability to engage in the kind of activities you enjoy doing?
None
A Great Deal
0
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Please make a selection.