Cycling:
Since you were diagnosed with CFS have there been periods of time in which you felt
that you were well or nearly well?
If you did feel that you were well or nearly well, how long did that period of wellness last?
What do you believe caused your period of wellness?
What do you believe triggered a resumption of the symptoms you associate with CFS
I experience significant fluctuations in my health on a daily, weekly, monthly or longer basis yes/no..
If you answered yes to the above question please answer the next question
If you answered yes to the question please answer the next question
What time(s) of day do you feel significantly better?
How would you characterize your improvement?
I have experienced very large fluctuations in my functional capacity on a weekly basis yes/no
How would you characterize your improvement?
What do you believe triggered a week long fluctuation in your health?
I've experienced very large fluctuations in my functional capacity on a monthly basis
What do you believe triggered a month long fluctuation in your health?
Do these fluctuations appear seasonal in nature? If yes, please click the season(s) in which you experience noticeable changes in your well-being
How would you characterize periods of improvement/getting worse.
I've experienced very large fluctuations in my functional capacity on a yearly basis - since I was diagnosed with CFS there have been years in which I felt much, much better and/or much, much worse.
Please characterize how much better you felt
After the person out the symptom questionnaire they submit it - Then they are given the list of symptoms they checked; At the top of the Current Symptom Box - please tell how this symptom has changed since the beginning of your illness; after each symptom they are given the choice to choose the following. New Symptom, Much worse, somewhat worse, no change, can't tell, somewhat better, much better
At the bottom of the page they are asked to list symptoms which were present but are no longer present and rate their severity when they were present.
Since you were diagnosed with CFS have there been periods of time in which you felt
that you were well or nearly well?
If you did feel that you were well or nearly well, how long did that period of wellness last?
- a day
- a week
- Less than a month
- Less than 6 months
- 6 months to a year
- 1-5 years
- Over 5 years
What do you believe caused your period of wellness?
- Starting A Treatment
- Altered Activity levels
- Housing Change
- Move to a New Region
- Relationship change
- Don't Know
What do you believe triggered a resumption of the symptoms you associate with CFS
- Stopping A Treatment
- Starting A Treatment
- Infection
- Vaccination
- Altered Activity levels
- Return to Work
- Diagnosis of Another Disorder
- Injury/Operation
- Seasonal factors - hot/cold weather
- Relationship change
- Other Stressful Event
- Don't Know
I experience significant fluctuations in my health on a daily, weekly, monthly or longer basis yes/no..
If you answered yes to the above question please answer the next question
- I regularly experience significant fluctuations in my health over a 24 hour period
If you answered yes to the question please answer the next question
What time(s) of day do you feel significantly better?
- Morning (need to quantify)
- Early Afternoon
- Late Afternoon
- Early Evening
- Late Even
- Early Morning
How would you characterize your improvement?
- 10-20% better (somewhat better)
- 20-40% better (quite a bit better)
- 40-70% better (very much improved)
- >70% better (I feel healthy or almost healthy)
I have experienced very large fluctuations in my functional capacity on a weekly basis yes/no
How would you characterize your improvement?
- 10-20% better (somewhat better)
- 20-40% better (quite a bit better)
- 40-70% better (very much improved)
- >70% better (I feel healthy or almost healthy)
What do you believe triggered a week long fluctuation in your health?
- Stopping or Starting A Treatment
- Infection
- Vaccination
- Altered Activity levels
- Return to Work
- Diagnosis of Another Disorder
- Injury/Operation
- Seasonal factors - hot/cold weather
- Relationship change
- Other Stressful Event
- Don't Know
I've experienced very large fluctuations in my functional capacity on a monthly basis
- 10-20% better (somewhat better)
- 20-40% better (quite a bit better)
- 40-70% better (very much improved)
- >70% better (I feel healthy or almost healthy)
What do you believe triggered a month long fluctuation in your health?
- Stopping or Starting A Treatment
- Infection
- Vaccination
- Altered Activity levels
- Starting, Stopping or Reducing Work Levels
- Diagnosis of Another Disorder
- Injury/Operation
- Exposure to chemicals
- Seasonal factors - hot/cold weather
- Relationship change
- Other Stressful Event
- Don't Know
Do these fluctuations appear seasonal in nature? If yes, please click the season(s) in which you experience noticeable changes in your well-being
- Fall
- Winter
- Spring
- Summer
- 10-20% better (somewhat better)
- 20-40% better (quite a bit better)
- 40-70% better (very much improved)
- >70% better (huge improvement)
- 10-20% worse (somewhat worse)
- 20-40% worse (quite a bit worse)
- 40-70% worse (very much worse)
- >70% worse (huge reduction in health)
How would you characterize periods of improvement/getting worse.
- I am somewhat better
- I am quite a bit better
- I am very much improved)
- I am healthy or almost healthy
I've experienced very large fluctuations in my functional capacity on a yearly basis - since I was diagnosed with CFS there have been years in which I felt much, much better and/or much, much worse.
Please characterize how much better you felt
- I was somewhat better
- I was quite a bit better
- I was very much improved
- I was healthy or almost healthy
After the person out the symptom questionnaire they submit it - Then they are given the list of symptoms they checked; At the top of the Current Symptom Box - please tell how this symptom has changed since the beginning of your illness; after each symptom they are given the choice to choose the following. New Symptom, Much worse, somewhat worse, no change, can't tell, somewhat better, much better
At the bottom of the page they are asked to list symptoms which were present but are no longer present and rate their severity when they were present.