Modified Fatigue Impact Scale

mFIS

FIS

Because of my fatigue

Dimension

01

01

I have been less alert. (I feel less alert.)

Cognitive

02

05

I have had difficulty paying attention. (I have difficulty paying attention for a long period.)

Cognitive

03

06

I have been unable to think clearly. (I feel like I cannot think clearly.)

Cognitive

04

10

I have been clumsy and uncoordinated. (I am more clumsy and uncoordinated.)

Physical

05

11

I have been forgetful (I find that I am more forgetful.)

Cognitive

06

13

I have had to pace myself in my physical activities. (I have to be careful about pacing my physical activities.)

Physical

07

14

I have been less motivated to do anything that requires physical effort. (I am less motivated to do anything that requires physical effort.)

Physical

08

15

I have been less motivated to participate in social activities. (I am less motivated to engage in social activities.)

Social

09

16

I have been limited in my ability to do things away from home. (My ability to travel outside my home is limited.)

Social

10

17

I have had trouble maintaining physical effort f or long periods. (I have trouble maintaining physical effort for long periods.)

Physical

11

18

I have had difficulty making decisions. (I find it difficult to make decisions.)

Cognitive

12

21

I have been less motivated to do anything that requires thinking. (I am less motivated to do anything that requires thinking.)

Cognitive

13

23

My muscles have felt week. (My muscles feel much weaker than they should.)

Physical

14

24

I have been physically uncomfortable. (My physical discomfort is increased.)

Physical

15

26

I have had trouble finishing tasks that require thinking. (I am less able to finish tasks that require thinking.)

Cognitive

16

30

I have had difficulty organizing things. (I find it difficult to organize my thoughts when I am doing things at home or at work.)

Cognitive

17

31

I have been less able to complete tasks that require physical effort. (I am less able to complete tasks that require physical effort.)

Physical

18

34

My thinking has been slowed down. (I feel slowed down in my thinking.)

Cognitive

19

35

I have had trouble concentrating. (I find it hard to concentrate.)

Cognitive

20

37

I have limited my physical activities. (I have to limit my physical activities.)

Physical

21

38

I have needed to rest more often or for longer periods of time. (I require more frequent or longer periods of rest.)

Physical

Response

Points

never

0

rarely

1

sometimes

2

often

3

almost always

4