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PGA Adolescent Fatigue Study

ID#:

How have you been feeling for the past two weeks?

Please select the one choice for each statement below that tells how true the statement is for you

Space Cell	Not at all	A Little	About half the time	Quite a bit	All the time
1. My body has felt tired.	1. My body has felt tired.: Not at all	1. My body has felt tired.: A Little	1. My body has felt tired.: About half the time	1. My body has felt tired.: Quite a bit	1. My body has felt tired.: All the time
2. My mind has felt worn out.	2. My mind has felt worn out.: Not at all	2. My mind has felt worn out.: A Little	2. My mind has felt worn out.: About half the time	2. My mind has felt worn out.: Quite a bit	2. My mind has felt worn out.: All the time
3. I move more slowly.	3. I move more slowly.: Not at all	3. I move more slowly.: A Little	3. I move more slowly.: About half the time	3. I move more slowly.: Quite a bit	3. I move more slowly.: All the time
4. I want to rest more.	4. I want to rest more.: Not at all	4. I want to rest more.: A Little	4. I want to rest more.: About half the time	4. I want to rest more.: Quite a bit	4. I want to rest more.: All the time
5. I sleep more often.	5. I sleep more often.: Not at all	5. I sleep more often.: A Little	5. I sleep more often.: About half the time	5. I sleep more often.: Quite a bit	5. I sleep more often.: All the time
6. It's harder to keep up with school work.	6. It's harder to keep up with school work.: Not at all	6. It's harder to keep up with school work.: A Little	6. It's harder to keep up with school work.: About half the time	6. It's harder to keep up with school work.: Quite a bit	6. It's harder to keep up with school work.: All the time
7. I don't feel like doing much.	7. I don't feel like doing much.: Not at all	7. I don't feel like doing much.: A Little	7. I don't feel like doing much.: About half the time	7. I don't feel like doing much.: Quite a bit	7. I don't feel like doing much.: All the time
8. My body hasn't kept up with others.	8. My body hasn't kept up with others.: Not at all	8. My body hasn't kept up with others.: A Little	8. My body hasn't kept up with others.: About half the time	8. My body hasn't kept up with others.: Quite a bit	8. My body hasn't kept up with others.: All the time
9. I have felt angry.	9. I have felt angry.: Not at all	9. I have felt angry.: A Little	9. I have felt angry.: About half the time	9. I have felt angry.: Quite a bit	9. I have felt angry.: All the time
10. I have not felt like talking.	10. I have not felt like talking.: Not at all	10. I have not felt like talking.: A Little	10. I have not felt like talking.: About half the time	10. I have not felt like talking.: Quite a bit	10. I have not felt like talking.: All the time
11. I need help to do my usual activities.	11. I need help to do my usual activities.: Not at all	11. I need help to do my usual activities.: A Little	11. I need help to do my usual activities.: About half the time	11. I need help to do my usual activities.: Quite a bit	11. I need help to do my usual activities.: All the time
12. I don't feel like being with others.	12. I don't feel like being with others.: Not at all	12. I don't feel like being with others.: A Little	12. I don't feel like being with others.: About half the time	12. I don't feel like being with others.: Quite a bit	12. I don't feel like being with others.: All the time
13. I have to work harder to do my usual activities.	13. I have to work harder to do my usual activities.: Not at all	13. I have to work harder to do my usual activities.: A Little	13. I have to work harder to do my usual activities.: About half the time	13. I have to work harder to do my usual activities.: Quite a bit	13. I have to work harder to do my usual activities.: All the time