Piper Fatigue Scale (PFS)

Please read directions carefully to assure accuracy: The information you submit in this survey is strictly confidential. It is for your eyes only. In fact, no information is retained by the web site. (If you leave a page before getting your results they will not be retrievable.)

When you have completed and submitted the survey you will be shown the results. It will clearly indicate the level of fatigue you are experiencing on a scale of 0 to 10 according to the Piper Scale (0 being no fatigue, and 10 being the highest level).

Incidentally, the results of this survey provide a scientific way to measure and quantify your level of fatigue. You may also want to use the results of this survey to help your physician and your loved ones better understand the degree of your discomfort.

For each of the following questions, simply fill in the space provided for the response which best describes the fatigue you are experiencing now or for today. Please make every effort to answer each question to the best of your ability. If you are not experiencing fatigue now or for today in a certain area, please do not respond to the question; simply leave it blank.

1 To what degree is the fatigue you are feeling now causing you distress?
No Distress

A Great Deal

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

3 To what degree is the fatigue you are feeling now interfering with your ability to socialize with your friends?
None

A Great Deal

4 To what degree is the fatigue you are feeling now interfering with your ability to engage in sexual activity?
None

A Great Deal

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

6 How would you describe the degree of intensity or severity of the fatigue which you are experiencing now?
Mild

Severe

7 To what degree would you describe the fatigue which you are experiencing now as being...
Pleasant

Unpleasant

8 To what degree would you describe the fatigue which you are experiencing now as being...
Agreeable

Disagreeable

9 To what degree would you describe the fatigue which you are experiencing now as being...
Protective

Destructive

10 To what degree would you describe the fatigue which you are experiencing now as being...
Positive

Negative

11 To what degree would you describe the fatigue which you are experiencing now as being...
Normal

Abnormal

12 To what degree are you now feeling...
Strong

Weak

13 To what degree are you now feeling...
Awake

Sleepy

14 To what degree are you now feeling...
Lively

Listless

15 To what degree are you now feeling...
Refreshed

Tired

16 To what degree are you now feeling...
Energetic

Unenergetic

17 To what degree are you now feeling...
Patient

Impatient

18 To what degree are you now feeling...
Relaxed

Tense

19 To what degree are you now feeling...
Exhilarated

Depressed

20 To what degree are you now feeling...
Able to 
concentrate

Unable to
concentrate

21 To what degree are you now feeling...
Able to
remember

Unable to
remember

22 To what degree are you now feeling...
Able to
think clearly

Unable to
think clearly


Please click the "Submit Survey"
button only once.


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