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  • Subjective Energy Level Assessment Questionnaire

    Subjective Energy Level Assessment Questionnaire

    Instructions for the Patient: Please reflect on your recent experiences regarding your energy levels and respond to the following questions. Choose the option that best represents your feelings or experiences over the past month. Your honest and thoughtful responses will aid in understanding your current state and determining if further evaluation is warranted.
  • Scoring Key:

    0: No concern 1: Mild concern 2: Moderate concern 3: High concern
  • Scoring:

    Total your scores. A higher total score indicates a greater subjective feeling of low energy, which may warrant further professional evaluation: 0-15: Low Concern. Your subjective energy levels appear healthy. 16-30: Moderate Concern. Some aspects of your energy perception might benefit from professional guidance. 31-45: High Concern. A professional evaluation is recommended to explore underlying causes and appropriate interventions. Note: This questionnaire is intended to assess subjective feelings of energy and is not a diagnostic tool. If you have concerns about your energy levels or overall health, please consult a healthcare professional.
  • Disclaimer of Liability

    This questionnaire is intended for initial assessment purposes only and is not to be used as a diagnostic tool. It does not replace professional medical evaluation, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider regarding any medical condition or before starting any new treatment. If in doubt about your health, seek medical assistance immediately. Usage of this questionnaire does not create a doctor-patient relationship with Boost Asia Ltd. or its affiliates.
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