IHATID FSS Fatigue Questionnaire Participant ID(Required)Your participant ID is your first and last initial, plus the first 4 numbers of your date of birth. Eg JS0410 Timepoint(Required) Baseline (before starting study product) Week 6 Week 12 HiddenScreening NumberThis number will be assigned to you as part of the enrolment process. If the number does not appear automatically, please check your email for this number, or contact RDC. Product Number(Required)This is the number displayed on your study product. Just how tired you are feeling (feeling of fatigue) is difficult to record. In an attempt to document fatigue in participants, the Fatigue Severity Scale (FSS) was developed and has been used in different patients. You are being asked to fill out this survey to determine how tired you are feeling. Please select the number between 1 and 7 which you feel best fits the following statements. This refers to your usual way of life within the last week.(Required)1 indicates “strongly disagree” and 7 indicates “strongly agree”.1 (strongly disagree)234567 (strongly agree)1. My motivation is lower when I’m fatigued2. Exercise brings on my fatigue3. I am easily fatigued4. Fatigue interferes with my physical functioning5. Fatigue causes frequent problems for me6. My fatigue prevents sustained physical functioning7. Fatigue interferes with carrying out certain duties and responsibilities.8. Fatigue is among my most disabling symptoms9. Fatigue interferes with my work, family, or social life
