1. I have been less alert.
Never (0)
2. I have had difficulty paying attention for long periods of time.
Never (0)
3. I have been unable to think clearly.
Never (0)
4. I have been clumsy and uncoordinated.
Never (0)
5. I have been forgetful.
Never (0)
6. I have had to pace myself in my physical activities.
Never (0)
7. I have been less motivated to do anything that requires physical effort
Never (0)
8. I have been less motivated to participate in social activities.
Never (0)
9. I have been limited in my ability to do things away from home.
Never (0)
10. I have trouble maintaining physical effort for long periods.
Never (0)
11. I have had difficulty making decisions.
Never (0)
12. I have been less motivated to do anything that requires thinking
Never (0)
13. My muscles have felt weak
Never (0)
14. I have been physically uncomfortable.
Never (0)
15. I have had trouble finishing tasks that require thinking.
Never (0)
16. I have had difficulty organizing my thoughts when doing things at home or at work.
Never (0)
17. I have been less able to complete tasks that require physical effort.
Never (0)
18. My thinking has been slowed down.
Never (0)
19. I have had trouble concentrating.
Never (0)
20. I have limited my physical activities.
Never (0)
21. I have needed to rest more often or for longer periods.
Never (0)
Modified Fatigue Impact Scale
INSTRUCTIONS:
Please choose the one best answer to each question.
1. I have been less alert.
2. I have had difficulty paying attention for long periods of time.
3. I have been unable to think clearly.
4. I have been clumsy and uncoordinated.
5. I have been forgetful.
6. I have had to pace myself in my physical activities.
7. I have been less motivated to do anything that requires physical effort
8. I have been less motivated to participate in social activities.
9. I have been limited in my ability to do things away from home.
10. I have trouble maintaining physical effort for long periods.
11. I have had difficulty making decisions.
12. I have been less motivated to do anything that requires thinking
13. My muscles have felt weak
14. I have been physically uncomfortable.
15. I have had trouble finishing tasks that require thinking.
16. I have had difficulty organizing my thoughts when doing things at home or at work.
17. I have been less able to complete tasks that require physical effort.
18. My thinking has been slowed down.
19. I have had trouble concentrating.
20. I have limited my physical activities.
21. I have needed to rest more often or for longer periods.
Bibliographic References (copyright belongs to the author/s of this instrument):
- Amtmann, D., Bamer, A. M., et al. (2012). "Comparison of the psychometric properties of two fatigue scales in multiple sclerosis." Rehabil Psychol 57(2): 159-166.
- Belmont, A., Agar, N., et al. (2006). "Fatigue and traumatic brain injury." Ann Readapt Med Phys 49(6): 283-288, 370-284.
- Fisk, J. D., Ritvo, P. G., et al. (1994). "Measuring the functional impact of fatigue: initial validation of the fatigue impact scale." Clin Infect Dis 18 Suppl 1: S79-83.
- Kos, D., Kerckhofs, E., et al. (2005). "Evaluation of the Modified Fatigue Impact Scale in four different European countries." Mult Scler 11(1): 76-80.
- Mills, R. J., Young, C. A., et al. (2010). "Rasch analysis of the Modified Fatigue Impact Scale (MFIS) in multiple sclerosis." J Neurol Neurosurg Psychiatry 81(9): 1049-1051.