Questionnaire - Page 1(d) of 9
(1015 maximum possible questions)		 Last updated: Oct 09, 2008

THE ANALYST TM
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This section pertains to fatigue.
109.  How long does it take you to recover from moderate exertion? Moderate exertion is defined as any activity that causes an increase in pulse / breathing / sweating for at least 10 minutes.
Don't know
Minutes
Under an hour
Hours
A day or more
110.  How would you feel after being forced to run 50 yards?
Not applicable / don't know
No problem, could keep running
Would prefer to rest
Very short of breath
Would barely be able to do it.
111.  Has the condition Chronic Fatigue Syndrome ever been diagnosed?
Don't know
No
Yes, but it has since resolved
Yes, it is a current tolerable problem
Yes, I can no longer lead a normal life
112.  Are you currently experiencing fatigue or exhaustion that started suddenly within the past 3 months?
Don't know
No / not sudden onset / started over 3 months ago
Yes, it started about 1-3 months ago
Yes, it started about 1-4 weeks ago
Yes, it started within the past week
113.  Do you suffer from fatigue that is relieved by eating?
Don't know
No
Occasionally / moderately
Often / severely
114.  Do you have fatigue that is present most of the time, not improved by ordinary sleep? In other words, do you wake up tired or not have the energy to do what you want to, even after a good night of sleep?
Don't know
No
It is a slight problem but I function quite well
Moderate problem - I can not function sometimes
Major problem - I am unable to perform my duties
115.  Do you have fatigue that gets worse as the day progresses (afternoon or evening tiredness)?
Don't know
No
Sometimes / moderately
Often / moderately
Often / severely
116.  Do you fatigue (get tired easily) even with light exertion?
Don't know
No
Occasionally / moderately
Severely - almost any kind of activity tires me
117.  Do you experience fatigue after taking a shower?
Don't know
No
Occasionally
Frequently
118.  Have you experienced an episode of fatigue that lasted 3 months or longer?
No / don't know
In the past only, now resolved
Current minor problem
Current major problem for 3 to 12 months
Current major problem for longer than a year

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GLOSSARY

Chronic Fatigue Syndrome:  CFS (Chronic Fatigue Syndrome) is a disorder of unknown cause that lasts for prolonged periods and causes extreme and debilitating exhaustion as well as a wide range of other symptoms such as fever, headache, muscle ache and joint pain, often resembling flu and other viral infections. Also known as Chronic Fatigue and Immune Dysfunction Syndrome (CFIDS), Chronic Epstein-Barr Virus (CEBV), Myalgic Encephalomyelitis (ME), "Yuppy Flu" and other names, it is frequently misdiagnosed as hypochondria, psychosomatic illness, or depression, because routine medical tests do not detect any problems.



 


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