Fatigue Quiz

1

', 'auto', {'allowLinker': true}); ga('send', 'pageview'); if(window.analyticsAutoLink && analyticsAutoLink != ''){ analyticsAutoLink = analyticsAutoLink.replace(/ /g, '').split(/[,\n]/g); ga('require', 'linker'); ga('linker:autoLink', analyticsAutoLink); }

2

First Name* This field is required.

3

Email* This field is required.Your results will be emailed to you

example@example.com

4

5

Please answer all questions. Your score will be given only if all of the questions are answered.

6

General fatigue* This field is required.

Daily

Several times a week

At least a few times per month

Almost never

7

Do you experience profound fatigue that substantially decreases you ability to function?* This field is required.

YESNO

8

Stress level* This field is required.

I'm stressed all of the time

Feel higher level of stress than what I want

Feel at peace most of the day

9

Brain fog/difficulty focusing* This field is required.

Daily

Several times a week

At least a few times per month

Almost never

10

Hungry shortly after eating* This field is required.

After at least 2 meals a day

After at least 1 meal a day

After a few meals per week

Almost never

11

Difficult to fall asleep* This field is required.

Nightly

Several nights a week

A few nights a month

Never

12

Wake up tired in the morning* This field is required.

Most every day

Several times a week

At least a few times per month

Almost never

13

How often do you have afternoon fatigue?* This field is required.

Daily

Few times per week

Few times per month

Almost never

14

Wake often during the night* This field is required.

Nightly

Several nights a week

Several nights a month

Almost never

15

Low sex drive* This field is required.

Most of the time

At least 50% of the time

Occasionally

Almost never

16

Experience increases perspiration with little or no activity* This field is required.

Most of the time

At least 50% of the time

Occasionally

Almost never

17

How often do you have depression-like feelings.* This field is required.

Daily

Few times per week

Few times per month

Almost never

18

Crave sweets or chocolate.* This field is required.

Daily

Few times per week

Few times per month

Almost never

19

Do you have dizziness when standing up quickly.* This field is required.

Most of the time

Few times per week

Few times per month

Almost never

20

General headache* This field is required.

Daily

Few times per week

Few times per month

Almost never

21

Headaches during stress or exertion?* This field is required.

Daily

Few times per week

Few times per month

Almost never

22

Physical stamina* This field is required.

Difficult to make it through the day

Start strong and weaken quickly during the day

More fatigued than I think I should be, but make it through the day

Physically strong all day

23

Difficult loosing weight during stressful periods* This field is required.

Always

Often

Rarely

Never

24

I feel that my life is unfulfilling* This field is required.

Daily

Few times per week

Few times per month

Almost never

25

Your Fatigue Score

26

So what does your Fatigue score mean?

Click submit and you will recieve an email with link to the Fatigue score rating page.