Instructions Tracking Your Fatigue tool: For each week, select five typical working days or anticipate typical working days. Print and use the chart below to track your fatigue level. Make sure to input your fatigue scores each part (start, middle, and end) of each day.
Scale:
| Not tired at all | A little bit tired | Somewhat tired | Moderately tired | Extremely tired |
|---|---|---|---|---|
| 0 | 3 | 4 | 6 | 7-10 |
| Mild fatigue | Moderate fatigue | Extreme fatigue | ||
| Minimal fatigue symptoms Able to carry out your daily activities (self-care, homemaking, work, leisure, etc) |
Symptoms present and cause moderate to high levels of distress Decrease in daily physical activities, some impairment in physical functioning |
Significant daily fatigue, excessive need to sit or sleep, severe impairment of daily activities, sudden onset of fatigue, shortness of breath at rest, fast heartbeat, and/or bleeding | ||
| Tracking your fatigue level Enter a number 0-10 for each part of the day |
Day 1 | Day 2 | Day 3 | Day 4 | Day 5 | |
|---|---|---|---|---|---|---|
| Week One | Start of the day | |||||
| Middle of the day | ||||||
| End of the day | ||||||
| Week Two | Start of the day | |||||
| Middle of the day | ||||||
| End of the day | ||||||
| Week Three | Start of the day | |||||
| Middle of the day | ||||||
| End of the day | ||||||
| Week Four | Start of the day | |||||
| Middle of the day | ||||||
| End of the day | ||||||
Next steps:
Review the Cancer and Work Fatigue Tracker tool with your doctor.
