MDCalc

Modified Fatigue Impact Scale (MFIS)

Measures the impact fatigue takes on a patient's daily life.

The shortened version of the MFIS can also be used when assessing daily fatigue impact of MS.

1. I have been less alert.
2. I have had difficulty paying attention.
3. I have been unable to think clearly.
4. I have been clumsy and uncoordinated.
5. I have been forgetful.
6. I have had to pace myself in my physical activities.
7. I have been less motivated to do anything that requires physical effort.
8. I have been less motivated to participate in social activities.
9. I have been limited in my ability to do things away from home.
10. I have had trouble maintaining physical effort for long periods.
11. I have had difficulty making decisions.
12. I have been less motivated to do anything that requires thinking.
13. My muscles have felt weak.
14. I have been physically uncomfortable.
15. I have had trouble finishing tasks that require thinking.
16. I have had difficulty organizing things.
17. I have been less able to complete tasks that require physical effort.
18. My thinking has been slowed down.
19. I have had trouble concentrating.
20. I have limited my physical activities.
21. I have needed to rest more often or for longer periods of time.

Result:

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Advice

The tool is useful for longitudinal tracking of a patient's MS-associated fatigue but can also be used to measure severity of fatigue.