Instructions:
Answer each question by designating either T for true or F for false. Complete this form on your computer, the results will be automatically calculated and displayed at the end of the assessment. Bring the results with you to the clinic.
Answer the questions in terms of how you feel most of the time. For example, if you've had a bad night's sleep and feel tired today answer the questions that pertain to your energy levels based on how you feel on a more average day.