I feel relaxed |
yes, that is true | X | | | | | | |
no, that is not true |
If you feel that this statement is not true at all, place a cross in the right box; like this: |
I feel relaxed |
yes, that is true | | | | | | | X |
no, that is not true |
If you feel that this statement in not “yes, that is true”, but also not “no, that is not true”, place a cross in the box that is most in accordance with how you have felt. |
For example, if you feel relaxed, but not very relaxed, place a cross in one of the boxes close to “yes, that is true": like this: |
I feel relaxed |
yes, that is true | | | X | | | | |
no, that is not true |
Do not skip any statement and place only one cross for each statement. | | | | | | | | |
1. I feel tired | yes, that is true | | | | | | | | no, that is not true |
2. I feel very active | yes, that is true | | | | | | | | no, that is not true |
3. Thinking requires effort | yes, that is true | | | | | | | | no, that is not true |
4. Physically I feel exhausted | yes, that is true | | | | | | | | no, that is not true |
5. I feel like doing all kinds of nice things | yes, that is true | | | | | | | | no, that is not true |
6. I feel fit | yes, that is true | | | | | | | | no, that is not true |
7. I do quite a lot within a day | yes, that is true | | | | | | | | no, that is not true |
8. When I am doing something, I can concentrate quite well | yes, that is true | | | | | | | | no, that is not true |
9. I feel weak | yes, that is true | | | | | | | | no, that is not true |
10. I don't do much during the day | yes, that is true | | | | | | | | no, that is not true |
11. I can concentrate well | yes, that is true | | | | | | | | no, that is not true |
12. I feel rested | yes, that is true | | | | | | | | no, that is not true |
13. I have trouble concentrating | yes, that is true | | | | | | | | no, that is not true |
14. Physically I feel I am in a bad condition | yes, that is true | | | | | | | | no, that is not true |
15. I am full of plans | yes, that is true | | | | | | | | no, that is not true |
16. I get tired very quickly | yes, that is true | | | | | | | | no, that is not true |
17. I have a low output | yes, that is true | | | | | | | | no, that is not true |
18. I feel no desire to do anything | yes, that is true | | | | | | | | no, that is not true |
19. My thoughts easily wander | yes, that is true | | | | | | | | no, that is not true |
20. Physically I feel in a good shape | yes, that is true | | | | | | | | no, that is not true |
SCORING CIS20R
|
For the items:2, 5, 6, 7, 8, 11, 12, 15, 20 is the scoring as follows: | | |
|
yes, that is true | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
no, that is not true |
For the items: 1, 3, 4, 9, 10, 13, 14, 16, 17, 18, 19is the scoring as follows: | | |
|
yes, that is true | 7 | 6 | 5 | 4 | 3 | 2 | 1 |
no, that is not true |
Subsequently the four subscales are calculated by summing the respective items |
subscale 1: Subjective feeling of fatigue
| items 1, 4, 6, 9, 12, 14, 16, 20 |
subscale 2: Concentration
| items 3, 8, 11, 13, 19 |
subscale 3: Motivation
| items 2, 5, 15, 18 |
subscale 4: Physical activity
| items 7, 10, 17 |