Loading
Get Modified Fatigue Impact Scale 5-item Version - Medstar Health
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Modified Fatigue Impact Scale 5-Item Version - MedStar Health online
The Modified Fatigue Impact Scale 5-Item Version is a valuable tool for assessing how fatigue impacts daily functioning. This guide provides clear, step-by-step instructions to help you fill out the form accurately and confidently.
Follow the steps to complete the form effectively.
- Press the ‘Get Form’ button to access and open the form in the editor.
- Begin by filling in your name in the designated field labeled 'Patient’s Name'. This ensures your responses are linked to you.
- Next, indicate the date by filling in the fields for month, day, and year. This helps document when the assessment was completed.
- Enter your unique ID number in the provided space. This is important for tracking and record-keeping.
- Read each statement carefully. For each item, select the number that best indicates how often fatigue has affected you over the past four weeks. Options range from 'Never' (0) to 'Almost always' (4).
- Circle the corresponding number for each of the five statements. Make sure to answer every question; if unsure, choose the option that feels closest to your experience.
- If necessary, ask an interviewer for assistance in understanding any of the statements or response options.
- Once you have completed all questions, review your responses to ensure all fields are filled correctly.
- Finally, save your changes, and if needed, download, print, or share the completed form as required.
Get started on your assessment by completing the Modified Fatigue Impact Scale 5-Item Version online today.
Scoring the MS Impact Scale involves assessing responses similarly to the Modified Fatigue Impact Scale 5-Item Version - MedStar Health. Each response must be rated, and the total score is computed by adding these ratings. This scoring process provides important insights into the disability and fatigue levels experienced by individuals with MS.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.