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Fatigue Questionnaire: Tips For Completing

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Fatigue is a common symptom of many health conditions and a side effect of many medications. It is difficult if not impossible to measure fatigue on any kind of an objective scale.

There is no standardized form because the medical determination is made by state agencies usually known as Disability Determination Service (DDS).

In general, expect that the form will ask questions about your daily activities, and the effect that fatigue has on them.

When filling out the fatigue form, keep in mind your "bad days" and answer with them in mind.

Be as specific as you can. Include the impact of fatigue on your work and on your daily life activities -- including all changes you've made to accommodate your condition. For example you:

  • Do laundry more frequently so the loads are lighter to carry.
  • Buy fewer groceries so the bags are lighter.
  • Have friends help with household chores. (List the specific chores.)
  • Plan your meals so you spend as little energy as possible preparing them.
  • Look at magazines because you are too tired to focus long enough to read books.
  • Avoid movies and long dramas on TV because you can't concentrate long enough to understand what is going on.
  • Have to take naps after going out to the doctor or on errands.

For a list of daily activities to help jog your memory, see Daily Activities.

The form also asks for names and addresses of other people who are aware of your condition and have observed your fatigue.

Consider reading Tips When Completing All Questionnaires Concerning Your Medical Condition before completing the Fatique Questionnaire.


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