Key facts
- Time to complete
- 2 min
- Questions
- 2
- Licensing
- Available free of charge; Patient Watch charges only for platform services
Anatomic Areas
Clinical Indications
Administration Instructions
Enter your height and weight.
Related Outcome Measures
Other clinical questionnaires for similar specialties and conditions
Address
Captures the patient postal address.
Adverse event report
Allows patients to report a possible adverse event related to their treatment in free text.
Blood Glucose Concentration
A generic reading of blood glucose concentration in mmol/L, with optional comments.
EQ-5D-5L
EuroQol 5-Dimension 5-Level questionnaire for measuring health-related quality of life
Fatigue Assessment Scale (FAS)
The Fatigue Assessment Scale (FAS) is a 10-item self-report questionnaire measuring the severity of fatigue. It includes two subscales: Physical Fatigue (Q1-5, range 5-25) and Mental Fatigue (Q6-10, range 5-25). Total score ranges from 10-50, with higher scores indicating greater fatigue.
Fatigue (NRS 0-10) and Comments
Allows patients to record fatigue severity on a 0-10 numerical rating scale and provide additional comments.
This questionnaire is provided free of charge. Patient Watch charges only for platform services (data storage, automated reminders, analytics) - not for use of clinical instruments. This non-commercial model supports academic and clinical use.View full licensing disclosure