Fatigue Assessment

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Cancer-Related Fatigue Check-In

Over the past 7 days, please indicate how much each statement has applied to you. This helps us understand how fatigue is affecting you so we can better support your care.

Physical Fatigue

Not at allA littleModerateQuite a lotExtreme
I feel physically exhausted
Physical activity takes more effort than usual
Rest does not fully restore my energy
Sleep does not refresh me

Emotional Fatigue

Not at allA littleModerateQuite a lotExtreme
I feel emotionally drained
I feel easily overwhelmed or upset
I feel flat
I feel less able to handle stress

Cognitive Fatigue

Not at allA littleOftenQuite OftenAll the time
It is hard to concentrate
My thinking feels slower than usual
Mental tasks feel overwhelming and require extra effort
I forget things or become confused easily
Name(Required)
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