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Brief Fatigue Inventory - NPCRC

Date: / / Time:_____Name:_____ _____ _____ Last First Middle InitialBrief Fatigue InventorySTUDY ID# HOSPITAL # F. Enjoyment of life012345678910D. Normal work (includes both work outside the home and daily chores)012345678910C. Walking ability012345678910012345678910B. MoodA. General activity4. Circle the one number that describes how, during the past 24 hours, Fatigue has interfered with your:1. Please rate your Fatigue (weariness, tiredness) by circling the one number that best describes your Fatigue right bad asFatigue you can imagine012345678910012345678910 NoAs bad asFatigue you can imagineE.

Date: / / Time:_____ Name:_____ _____ _____ Last First Middle Initial Brief Fatigue Inventory

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