1 |
To what degree is the
fatigue you are feeling now causing you distress? |
No Distress |
A Great Deal |
Please make a selection. |
|
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 |
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 |
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 |
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 |
Please make a selection. |
|
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