Form No number No number Multi-dimensional Fatigue Inventory

Registry of Unexplained Fatiguing Illnesses and Chronic Fatigue Syndrome (CFS): A Pilot Study

Attachment 22 Multi-dimensional Fatigue Inventory

Multi-dimensional Fatigue Inventory

OMB: 0920-0788

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Multi-Dimensional Fatigue Inventory
The next questions are about how you have been feeling lately. Please place one “X” for each
statement.
The more you agree with the statement, the more you should place an “X” in the direction of
“yes, that is true .” The more you disagree with the statement, the more you should place an X
in the direction of “no, that is not true.”
Take for example the statement: “I FEEL RELAXED.”
If you think that this statement is entirely true , that you have been feeling relaxed lately, you
would place an “X” in the box labeled “1.”
yes, that is true

no, that is not true
1

1. I feel fit.

2

3

4

yes, that is true

2. Physically I feel only able to do
a little.

yes, that is true

3. I feel very active.

yes, that is true

4. I feel like doing all sorts of nice
things.

yes, that is true

5. I feel tired.

yes, that is t rue

6. I think I do a lot in a day.

yes, that is true

©E.Smets, B.Garssen, B.Bonke

5

no, that is not true
1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

no, that is not true

no, that is not true

no, that is not true

no, that is not true
1

2

3

4

5

1

2

3

4

5

no, that is not true

7. When I am doing something, I
can keep my thoughts on it.

yes, that is true

8.

yes, that is true

9.

Physically I can take on a lot.

I dread having to do things.

10. I think I do very little in a day.

11. I can concentrate well.

12. I am rested.

3

4

5

1

2

3

4

5

no, that is not true

no, that is not true
1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

yes, that is true

no, that is not true

yes, that is true

no, that is not true

yes, that is true

yes, that is true

14. Physically I feel I am in a bad
condition.

yes, that is true

15. I have a lot of plans.

yes, that is true

©E.Smets, B.Garssen, B.Bonke

2

yes, that is true

13. It takes a lot of effort to
concentrate on things.

16. I tire easily.

no, that is not true
1

no, that is not true
1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

no, that is not true

no, that is not true

no, that is not true

yes, that is true

no, that is not true

17. I get little done.

18. I don’t feel like doing anything.

19. My thoughts easily wander.

20. Physically I feel I am in an
excellent condition.

©E.Smets, B.Garssen, B.Bonke

yes, that is true

no, that is not true
1

2

3

4

5

1

2

3

4

5

yes, that is true

no, that is not true

yes, that is true

no, that is not true
1

2

3

4

5

1

2

3

4

5

yes, that is true

no, that is not true


File Typeapplication/pdf
File TitleMFI.doc
Authoramorusom
File Modified2005-11-29
File Created2003-11-05

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