Measures Developed by the DePaul Research Team

 

DePaul Symptom Questionnaire

 

Fennell Scale

 

The Chronic Fatigue Syndrome Attitudes Test Questions

 


DePaul Symptom Questionnaire

 

ID# ____________________                                               Date_____________________

              

DePaul Symptom Questionnaire

Please answer the following questions.

1. What is your height?                                                         

2. What is your weight?                                            

3. What is your date of birth?                                                

4. What is your gender?                                                                    

      5.  To which of the following race(s) do you belong?

Black, African-American

White

American Indian or Alaska Native

Asian or Pacific Islander

Other race (Please specify)                                                                                               

6.  Are you of Latino or Hispanic origin?

Yes         No

7.  What is your current marital status?

            Married or living with partner           

            Separated      

            Widowed     

            Divorced    

            Never married

8. Do you have any children?

Yes         No (Skip to Question 9)

8a. How many children do you have?                        

8b. How many of your children are under 18 years old?                                                             

9. How many people live in your home?                                                                                         

10. What grade or degree have you completed in school?

Less than high school      

            Some high school

            High school degree or GED

            Partial college (at least one year) or specialized training

            Standard college degree

            Graduate professional degree including masters and doctorate

11. What is your current work status? (Check all that apply)        

On disability

Student                   

Homemaker           

Retired                   

Unemployed

Working part-time 

Working full-time

11a. If you are on disability, for what condition do you receive disability compensation?

            Please Specify                                                                                                                       

12. What is your current occupation?

Current                                                                                   

12a. If you are currently not working, what was your most recent occupation?

            Most Recent                                                                                                                                                                          

For the following questions (13-66), we would like to know how often you have had each symptom and how much each symptom has bothered you over the last 6 months. For each symptom please circle one number for frequency and one number for severity. Please fill the chart out from left to right. 

 

 

 

 

Symptoms

Frequency:

Throughout the past 6 months, how often have you had this symptom?

 

For each symptom listed below, circle a number from:

0 = none of the time

1 = a little of the time

2 = about half the time

3 = most of the time

4 = all of the time

Severity:

Throughout the past 6 months, how much has this symptom bothered you?

For each symptom listed below, circle a number from:

0 = symptom not present

1 = mild

2 = moderate

3 = severe

4 = very severe

13) Fatigue/extreme tiredness

0          1           2          3         4

0          1           2          3         4

14) Dead, heavy feeling after starting to exercise

0          1           2          3         4

0          1           2          3         4

15) Next day soreness or fatigue after  non-strenuous, everyday activities

0          1           2          3         4

0          1           2          3         4

16) Mentally tired after the slightest effort

0          1           2          3         4

0          1           2          3         4

17) Minimum exercise makes you physically tired  

0          1           2          3         4

0          1           2          3         4

18) Physically drained or sick after mild activity  

0          1           2          3         4

0          1           2          3         4

19) Feeling unrefreshed after you wake up in the morning

0          1           2          3         4

0          1           2          3         4

20) Need to nap daily

0          1           2          3         4

0          1           2          3         4

21) Problems falling asleep

0          1           2          3         4

0          1           2          3         4

22) Problems staying asleep

0          1           2          3         4

0          1           2          3         4

23) Waking up early in the morning (e.g. 3am)

0          1           2          3         4

0          1           2          3         4

24) Sleep all day and stay awake all night

0          1           2          3         4

0          1           2          3         4

25) Pain or aching in your muscles

0          1           2          3         4

0          1           2          3         4

26) Pain/stiffness/tenderness in more than one joint without swelling or redness

0          1           2          3         4

0          1           2          3         4

27) Eye pain

0          1           2          3         4

0         1           2          3         4

 

 

 

 

Symptoms

Frequency:

Throughout the past 6 months, how often have you had this symptom?

 

For each symptom listed below, circle a number from:

0 = none of the time

1 = a little of the time

2 = about half the time

3 = most of the time

4 = all of the time

Severity:

Throughout the past 6 months, how much has this symptom bothered you?

For each symptom listed below, circle a number from:

0 = symptom not present

1 = mild

2 = moderate

3= severe

4 = very severe

28) Chest pain

0          1           2          3         4

0          1           2          3         4

29) Bloating

0          1           2          3         4

0          1           2          3         4

30) Abdomen/stomach pain

0          1           2          3         4

0          1           2          3         4

31) Headaches

0          1           2          3         4

0          1           2          3         4

32) Muscle twitches

0          1           2          3         4

0          1           2          3         4

33) Muscle weakness

0          1           2          3         4

0          1           2          3         4

34) Sensitivity to noise

0          1           2          3         4

0          1           2          3         4

35) Sensitivity to bright lights

0          1           2          3         4

0          1           2          3         4

36) Problems remembering things

0          1           2          3         4

0          1           2          3         4

37) Difficulty paying attention for a long period of time

0          1           2          3         4

0          1           2          3         4

38) Difficulty finding the right word to say or expressing thoughts

0          1           2          3         4

0          1           2          3         4

39) Difficulty understanding things

0          1           2          3         4

0          1           2          3         4

40) Only able to focus on one thing at a time

0          1           2          3         4

0          1           2          3         4

41) Unable to focus vision and/or attention

0          1           2          3         4

0          1           2          3         4

42) Loss of depth perception

0          1           2          3         4

0          1           2          3         4

43) Slowness of thought

0          1           2          3         4

0          1           2          3         4

44) Absent-mindedness or forgetfulness

0          1           2          3         4

0          1           2          3         4

45) Bladder problems

0          1           2          3         4

0          1           2          3         4

46) Irritable bowel problems

0          1           2          3         4

0          1           2          3         4

 

 

 

 

Symptoms

Frequency:

Throughout the past 6 months, how often have you had this symptom?

 

For each symptom listed below, circle a number from:

0 = none of the time

1 = a little of the time

2 = about half the time

3 = most of the time

4 = all of the time

Severity:

Throughout the past 6 months, how much has this symptom bothered you?

For each symptom listed below, circle a number from:

0 = symptom not present

1 = mild

2 = moderate

3= severe

4 = very severe

47) Nausea

0          1           2          3         4

0          1           2          3         4

48) Feeling unsteady on your feet, like you might fall

0          1           2          3         4

0          1           2          3         4

49) Shortness of breath or trouble catching your breath

0          1           2          3         4

0          1           2          3         4

50) Dizziness or fainting

0          1           2          3         4

0          1           2          3         4

51) Irregular heart beats

0          1           2          3         4

0          1           2          3         4

52) Losing or gaining weight without trying

0          1           2          3         4

0          1           2          3         4

53) No appetite

0          1           2          3         4

0          1           2          3         4

54) Sweating hands

0          1           2          3         4

0          1           2          3         4

55) Night sweats

0          1           2          3         4

0          1           2          3         4

56) Cold limbs (e.g. arms, legs, hands)

0          1           2          3         4

0          1           2          3         4

57) Feeling chills or shivers

0          1           2          3         4

0          1           2          3         4

58) Feeling hot or cold for no reason

0          1           2          3         4

0          1           2          3         4

59) Feeling like you have a high temperature

0          1           2          3         4

0          1           2          3         4

60) Feeling like you have a low temperature

0          1           2          3         4

0          1           2          3         4

61) Alcohol intolerance

0          1           2          3         4

0          1           2          3         4

62) Sore throat

0          1           2          3         4

0          1           2          3         4

63) Tender/sore lymph nodes

0          1           2          3         4

0          1           2          3         4

64) Fever

0          1           2          3         4

0          1           2          3         4

65) Flu-like symptoms

0          1           2          3         4

0          1           2          3         4

66) Some smells, foods, medications, or chemicals make you feel sick

0          1           2          3         4

0          1           2          3         4

67. Have you always had persistent or recurring fatigue/energy problems, even back to your earliest memories as a child? (By persistent or recurring, we mean that the fatigue/energy problems are usually ongoing and constant, but sometimes there are good periods and bad periods.)

Yes              No               Not having a problem with fatigue/energy

68. Since your fatigue/energy related illness began, do your headaches either happen more often, feel worse or more severe, or are they in a different place or spot?

Yes              No               Not having a problem with fatigue/energy                       

69. How long ago did your problem with fatigue/energy begin?

Less than 6 months

6-12 months

1-2 years

Longer than 2 years

Had problem with fatigue/energy since childhood or adolescence

Not having a problem with fatigue/energy

70. Have you been diagnosed with Chronic Fatigue Syndrome or Myalgic Encephalomyelitis?  

      Yes              No     

70a. If yes, what year were you diagnosed?                                 

 

70b. Do you currently have a diagnosis of Chronic Fatigue Syndrome or Myalgic Encephalomyelitis?

        Yes              No     

70c. Who diagnosed you with Chronic Fatigue Syndrome or Myalgic Encephalomyelitis?

        Medical Doctor     Alternative Practitioner       Self-Diagnosed  

 

70d. Have any of your family members been diagnosed with Chronic Fatigue Syndrome or  Myalgic Encephalomyelitis?

      Yes              No

               If yes, please list their relation to you and current age                                                      

                                                                                                                                                            

 

71.  Did you experience any of the following symptoms regularly and repeatedly in the months and years before your fatigue/energy problems began?

Sore throat

Tender/sore lymph nodes

Unrefreshing sleep

Impaired memory and concentration

Prolonged fatigue following physical or mental exertion

Muscle pain

Headaches

Joint Pain

Not having a problem with fatigue/energy

72. If you rest, does your problem with fatigue/energy go away? (Check one)    

                     Entirely      

                     Partially     

                     My fatigue/energy problem is not improved by rest (Skip to Question 73)

                     I am not having a problem with fatigue/energy (Skip to Question 73)

72a. How long do you have to rest for your problem with fatigue/energy to entirely or partially go away?

less than 30 minutes     30 to 59 minutes       1-2 hours   more than 2 hours

73. If you were to become exhausted after actively participating in extracurricular activities, sports, or outings with friends, would you recover within an hour or two after the activity     ended? 

Yes          No

74. Do you reduce your activity level to avoid experiencing problems with fatigue/energy?   

                     Yes          No       Not having a problem with fatigue/energy

75. Do you experience a worsening of your fatigue/energy related illness after engaging in minimal physical effort?   

            Yes          No        Not having a problem with fatigue/energy

75a. Do you experience a worsening of your fatigue/energy related illness after engaging in mental effort?    

Yes          No

75b. If you feel worse after activities, how long does this last? (Check one) 

                     1 hour or less          2-3 Hrs          4-10 Hrs          11-13 Hrs     

                     14-23 Hrs           More than 24 Hrs (Please specify__________)

 

76. Are you currently engaging in any form of exercise?

            Yes (Skip to Question 77)           No

 

76a. If you do not exercise, why aren’t you exercising?  (Check all boxes that you agree with)  

            Not interested      

            No time    

            Would like to but cannot because of problems with fatigue/energy      

            Cannot because exercise makes symptoms worse

 

77. Over what period of time did your fatigue/energy related illness, develop? (Check one)  

            Within 24 hours     

                     Over 1 week                   

                     Over 1 month                 

                     Over 2-6 months         

                     Over 7-12 months          

                     Over 1-2 years               

                     Over 3 or more years

                     I am not ill

 

78. How would you describe the course of your fatigue/energy related illness? (Check one)

            Constantly getting worse

            Constantly improving        

            Persisting (no change)         

            Relapsing & remitting (having “good” periods with no symptoms & “bad” periods)     

            Fluctuating (symptoms periodically get better and get worse, but never disappear completely)

            No Symptoms/I am not ill

79. Which statement best describes your fatigue/energy related illness during the last 6 months? (Check one)

I am not able to work or do anything, and I am bedridden.                                                                                          

I can walk around the house, but I cannot do light housework.

I can do light housework, but I cannot work part-time.

I can only work part-time at work or on some family responsibilities.

I can work full time, but I have no energy left for anything else.

I can work full time and finish some family responsibilities but I have no energy left

    for anything else.  

I can do all work or family responsibilities without any problems with my energy.

80. Did your fatigue/energy related illness start after you experienced any of the following?      (Check one or more and please specify)

An infectious illness                                                                                                          

An accident                                                                                                                       

A trip or vacation                                                                                                              

An immunization (shot at doctor’s office)                                                                       

Surgery                                                                                                                              

Severe stress (bad or unhappy event(s))                                                                           

Other                                                                                                                                  

I am not ill

81. Have you ever consulted a medical doctor or health professional about your fatigue/energy problem?

            Yes              No (Skip to Question 83)   

82. Do you currently have a medical doctor overseeing your fatigue/energy problem?

            Yes              No

 

83. Do you have any medical illness (es) that might be causing your symptoms?

Yes              No (Skip to Question 84)   

83a. What medical illnesses do you have?

Illness name(s) and year it began:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    

83b. For which of these conditions are you currently receiving treatment?                                                                                                                                                                                                                                                                                                                                                                                                                                                            

84.  Are you currently taking any medications (over the counter or prescription)? 

Yes          No (Skip to Question 86)

84a. What medications are you taking?                                                                                    

                                                                                                                                                    

85. Do you think any medication(s) is (are) causing your problem with fatigue/energy?

            Yes          No (Skip to Question 86)       

            I do not have a problem with fatigue/energy (Skip to Question 86)

85a. Please specify which medications:                                                                                                                                                                                                                                            

86. Have you ever been diagnosed and/or treated for any of the following: (Check all that apply and write year (s) experienced, years treated, and medication (if applicable) in the blank)

            Major depression                                                                                                               

            Major depression with melancholic or psychotic features                                                           

            Bipolar disorder (Manic-depression)                                                                                

            Anxiety                                                                                                                              

            Schizophrenia                                                                                                                    

            Eating disorder                                                                                                                  

            Substance abuse                                                                                                                

            Multiple chemical sensitivities                                                                                         

            Fibromyalgia                                                                                                                     

            Allergies                                                                                                                            

            Other (Please specify)                                                                                                       

            No diagnosis/treatment

87. What do you think is the cause of your problem with fatigue/energy? (Check one)

Definitely physical

Mainly physical

Equally physical and psychological

Mainly psychological

Definitely psychological

No problem with fatigue/energy

88. Do you think anything specific in your personal life or environment accounts for your problem with fatigue/energy? 

            Yes              No (Skip to Question 89)       

            I do not have a problem with fatigue/energy (Skip to Question 89)

88a. Please specify:                                                                                                         

89. In the past 4 weeks, approximately how many hours per week have you spent doing:

Household related activities?                       hours per week             

Social/Recreational related activities?         hours per week                   

Family related activities?                             hours per week

Work related activities?                                hours per week

90. In the past 4 weeks, have you had to reduce the number of hours you previously spent (prior to your illness) on occupational, social or family activities because of your health or         problems with fatigue/energy?   

                     Yes              No (Skip to Question 91)    Not having a problem with fatigue/energy

90a. Before your fatigue/energy related illness, approximately how many hours did you     used to spend on:

Household related activities?                       hours per week      

Social/Recreational related activities?         hours per week          

Family related activities?                             hours per week   

Work related activities?                                hours per week 

91. Please rate the amount of energy you had available yesterday, using a scale from 1 to 100 where 1= no energy and 100 = your pre-illness energy level.  (If you don't have a fatigue/energy related illness, a score of 100 = having abundant energy such that you could work full time and complete your family responsibilities)                                

92. Please rate the amount of energy you expended (used) yesterday, using a scale from 1 to 100 where 1 = no energy and 100 = your pre-illness energy expended                        

93. Please rate the amount of fatigue you had yesterday, using a scale from 1 to 100 where 1 = no fatigue and 100 = severe fatigue                            

94. For the past week, please rate the amount of energy you had available using a scale from 1 to 100 where 1 = no energy and 100 = your pre-illness energy level                       

95. For the past week, please rate the amount of energy you have expended (used) using a scale from 1 to 100 where 1 = no energy and 100 = your pre-illness energy expended              

96. For the past week, please rate the amount of fatigue you have had using a scale from 1 to 100 where 1 = no fatigue and 100 = severe fatigue                               

 

 

97. Since the onset of your problems with fatigue/energy, have your symptoms caused a 50% or greater reduction in your activity level?

Yes              No               Not having a problem with fatigue/energy

98. Do you experience frequent viral infections with prolonged recovery periods?

Yes                                      No  

99. Are you intolerant of extremes of temperatures (when it is extremely hot or cold)?

Yes                                      No  

 

MOS SURVEY

INSTRUCTIONS:

This survey asks for your views about your health.  This information will help keep track of how you feel and

how well you are able to do your usual activities. Answer every question by marking the answer as

indicated.  If you are unsure about how to answer a question, please give the best answer you can.

1.            In general, would you say your health is:  (Please circle one)

                                       Excellent............................................................... 1

                                       Very good............................................................. 2

                                       Good.................................................................... 3

                                       Fair...................................................................... 4

                                       Poor..................................................................... 5

2.            Compared to one year ago, how would you rate your health in general now? (Please circle one)

                                       Much better than one year ago.............................. 1

                                       Somewhat better now than one year ago................ 2

                                       About the same as one year ago........................... 3

                                       Somewhat worse now than one year ago............... 4

                                       Much worse now than one year ago....................... 5

 

 

3.            The following items are about activities you might do during a typical day.  Does your health now

               limit you in these activities? If so, how much?

Activities

Yes,

Limited

A Lot

Yes,
Limited

A Little

No, Not

Limited

At All

Vigorous activities: running, lifting heavy objects, participating in strenuous sports

1

2

3

Moderate activities: moving a table, pushing a vacuum cleaner, bowling, playing golf

1

2

3

Lifting or carrying groceries

1

2

3

Climbing several flights of stairs

1

2

3

Climbing one flight of stairs

1

2

3

Bending, kneeling, or stooping

1

2

3

Walking more than a mile

1

2

3

Walking several blocks

1

2

3

Walking one block

1

2

3

Bathing or dressing yourself

1

2

3

 

4.            During the past 4 weeks, have you had any of the following problems with your work or other

               regular daily activities as a result of your physical health?

Problems

Yes

No

Cut down on the  amount of time you spent on work or other activities

1

2

Accomplished less than you would like

1

2

Were limited in the kind of work or other activities

1

2

Had difficulty performing the work or other activities (For example, it took extra effort)

1

2

 

 

 

 

 

 

 

5.            During the past 4 weeks, have you had any of the following problems with your work or other

               regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?

Problems

Yes

No

Cut down the amount of time you spent on work or other activities

1

2

Accomplished less than you would like

1

2

Didn’t do work or other activities as carefully as usual

1

2

 

6.            During the past 4 weeks, to what extent has your physical health or emotional problems interfered with

               your normal social activities with family, neighbors, or groups? (Please circle one)

                                       Not at all............................................................... 1

                                       Slightly................................................................. 2

                                       Moderately........................................................... 3

                                       Quite a bit............................................................. 4

                                       Extremely............................................................. 5

7.            How much bodily pain have you had during the past 4 weeks?

                                       None.................................................................... 1

                                       Very mild.............................................................. 2

                                       Mild...................................................................... 3

                                       Moderate.............................................................. 4

                                       Severe................................................................. 5

                                       Very Severe.......................................................... 6

 

8.            During the past 4 weeks, how much did pain interfere with your normal work (including both work

               outside the home and housework)?

                                       Not at all............................................................... 1

                                       Slightly................................................................. 2

                                       Moderately........................................................... 3

                                       Quite a bit............................................................. 4

                                       Extremely............................................................. 5

9. These questions are about how you feel and how things have been with you during the past 4 weeks.

   For each question, please give the one answer that comes closest to the way you have been feeling.                               How much of the time during the past 4 weeks-

 

Questions

All

of the

Time

Most

of the

Time

A Good

Bit of

the Time

Some

of the

Time

A Little

of the

Time

None

of the

Time

Did you feel full of pep?

1

2

3

4

5

6

Have you been a nervous person?

1

2

3

4

5

6

Have you felt so down in the dumps that nothing could cheer you up?

1

2

3

4

5

6

Have you felt calm and peaceful?

1

2

3

4

5

6

Did you have a lot of energy?

1

2

3

4

5

6

Have you felt down-hearted and blue?

1

2

3

4

5

6

Did you feel worn out?

1

2

3

4

5

6

Have you been a happy person?

1

2

3

4

5

6

Did you feel tired?

1

2

3

4

5

6

 

 

 

 

10.           During the past 4 weeks, how much of the time has your physical health or

               emotional problems interfered with your social activities (like visiting with friends,

               relatives, etc.)?

                                       All of the time........................................................ 1

                                       Most of the time.................................................... 2

                                       Some of the time.................................................. 3

                                       A little of the time.................................................. 4

                                       None of the time................................................... 5

11.           How TRUE or FALSE is each of following statements for you?

Statements

Definitely

True

Mostly

True

Don’t

Know

Mostly

False

Definitely

False

I seem to get sick a little easier than other people

1

2

3

4

5

I am as healthy as anybody I know

1

2

3

4

5

I expect my health to get worse

1

2

3

4

5

My health is excellent

1

2

3

4

5

 

________________________________________________________________________________________
Fennell Scale
(Jason, Fennell, Klein, Fricano, Halpert, & Taylor, 1999)

Rate each of the items below on a five point scale
1= definitely do not agree
2=do not agree
3=somewhat agree
4=agree
5=very strongly agree

___1.    I feel like I am falling apart.a
___2.    I am just beginning to recognize when and how my symptoms occur.b
___3.    I am beginning to accept the fact that I will never be completely like I was before the illness and that I will need to become a new person.b
___4.    I now have learned that living with the illness involves getting sicker, at times, and improving, at times.c
___5.    The primary way for me to improve is if my physician finds me the right treatment.a
___6.    I am beginning to seek support and information from others who have or who know about the illness.b
___7.    I am in the early process of creating meaning about my illness experience.b
___8.    I have gained a sense of myself that is blended - a combination of my life before and after I first got sick.c
___9.    I need to know with certainty when and if I am going to get better.a
___10.  I am just starting to feel like I have some control of my life.b
___11.  I am beginning to learn how to live with the unknown or chronic nature of my illness.b
___12.  I have better and more satisfying relationships with people I care about since I first became sick.d
___13.  It is my fault I got sick.d
___14.  I am just starting to realize that there may be things I can do to help myself feel better.b
___15.  I am starting to see my illness experience as having some value.b
___16.  I am proud of myself for living with this illness.c
___17.  I think about my illness all of the time.a
___18.  I am just beginning to stabilize (i.e., feeling a bit less confused and a bit more ordered).b
___19.  For the first time, I am beginning to have compassion and love for myself and for what I have endured.b
___20.  I am a better and wiser person since I first got sick.c

a = Crisis Factor
b = Stabilization Factor
c = Integration Factor
d = Item did not significantly load
 
 

The Crisis mean score was calculated by adding items 1, 5, 9, and 17 of the Fennell Phase Inventory and dividing by four. The Stabilization mean score was calculated by adding items 2, 3, 6, 7, 10, 11, 14, 15, 18, and 19 of the Fennell Phase Inventory and dividing by ten. The Integration mean score was calculated by adding items 4, 8, 16, and 20 of the Fennell Phase Inventory and dividing by four.

These scoring criteria are in Jason, Fricano, Taylor, Halpert, Fennell, Klein, and Levine (in press). Using Crisis, Stabilization, and Integration mean scores (see above), each participant was then assigned to one of the four groups according to the following algorithmic criteria derived from the cluster analysis from the data in the Jason, Fennell, Klein, Fricano, Halpert, and Taylor (1999) study. Criteria for the Crisis group were a Crisis score of 3.00 or above and Stabilization and Integration scores of 3.30 or below. Criteria for the Integration group were a Crisis score of 2.50 or below, a Stabilization score of 2.80 or below and an Integration score of 4.25 or above. Cases not in either of these groups that had either a Crisis score 3.10 or above, a Stabilization score 3.40 or above, or an Integration score of 3.75 or above were classified into a Resolution group. Cases that did not meet any of the above criteria comprised the Stabilization group.



The Chronic Fatigue Syndrome Attitudes Test Questions
(Schlaes, Jason, & Ferrari, 1999)

1.) Children with CFS should be allowed to attend regular classes

2.) Employers should be permitted to fire those with CFS.

3.) People with CFS are just depressed.

4.) More federal funds should be allocated for research on CFS

5.) People with CFS are lazy.

6.) I would continue to visit and support a friend who had CFS.

7.) People with CFS should not be discriminated against in any way.

8.) CFS is not a real medical illness.

9.) I would shake hands with someone with CFS.

10.) The majority of people with CFS were competitive, driven to achieve, and compulsive before they got sick.

11.) I would not sit on the same toilet that a person with CFS had just used.

12.) CFS is not as big a problem as the media suggests.

13.) People with CFS would get better if they really wanted to be healthy.

14.) CFS is primarily a psychological disorder.

15.) The majority of people with CFS have a high socio-economic status.

16.) CFS is one of the leading medical problems in the country.

17.) If people with CFS rest then they will get better.

18.) People with CFS are to blame for getting sick.

19.) CFS is a form of punishment from GOD.

Each item is scored on a 7 point scale from strongly disagree (1) to strongly agree (7).
For scoring purposes, use only items 2,3,4,5,8,10,11,12,13,14,17,18, and 19 (reverse score item 4).
You can sum these items for an overall composite score and also add up the items below to use the following three factor scores:
Responsibility for CFS: items 3,5,11,18,19.
Relevance of CFS: items 2,4,8,12.
Traits of people with CFS: items 10,13,14,17.