Sleep Disorder Assessment

SELF ASSESSMENT

Fatigue is highly prevalent and has a negative impact on quality of life and performance in a variety of disorders. The 9-item Fatigue Severity Scale (FSS) is one of the most commonly used self-report questionnaires to measure fatigue.

TEST 1: Fatigue Severity Scale (FSS)

(1) Disagree ——–>  (7) Agree
During the past week, I have found that:

    1. My motivation is lower when I am fatigued
    2. Exercise brings on my fatigue
    3. I am easily fatigued
    4. Fatigue interferes with my physical functioning
    5. Fatigue causes frequent problems for me
    6. My Fatigue prevents sustained physical functioning
    7. Fatigue interferes with carrying out certain duties and responsibilities
    8. Fatigue is among my most 3 disabling symptoms
    9. Fatigue interferes with my work, family, or social life



    TEST 2: Epworth Sleepiness Scale (ESS)

    Chance of dosing:
    (0) Low ——–>  (3) High

      1. Sitting and reading
      2. Watching television
      3. Sitting inactive in a public place (e.g. a theatre/meeting)
      4. As a passenger in a car for an hour with no break
      5. Lying down in the afternoon (when possible)
      6. Sitting and talking to someone
      7. Sitting quietly after lunch without alcohol
      8. In a car, while stopped for a few minutes in traffic



      Fatigue Severity Scale (FSS)

      During the past week, I have found that

      Disagree ——–> Agree

        1. My motivation is lower when I am fatigued
        2. Exercise brings on my fatigue
        3. I am easily fatigued
        4. Fatigue interferes with my physical functioning
        5. Fatigue causes frequent problems for me
        6. My Fatigue prevents sustained physical functioning
        7. Fatigue interferes with carrying out certain duties and responsibilities
        8. Fatigue is among my most 3 disabling symptoms
        9. Fatigue interferes with my work, family, or social life



        Epworth Sleepiness Scale (ESS)

        Situation

        Chance of dosing (0-3)

          1. Sitting and reading
          2. Watching television
          3. Sitting inactive in a public place (e.g. a theatre/meeting)
          4. As a passenger in a car for an hour with no break
          5. Lying down in the afternoon (when possible)
          6. Sitting and talking to someone
          7. Sitting quietly after lunch without alcohol
          8. In a car, while stopped for a few minutes in traffic