Fatigue (NRS 0-10) and Comments

Allows patients to record fatigue severity on a 0-10 numerical rating scale and provide additional comments.

Instructions:

Please rate your current level of fatigue and add any comments you wish to share.

Fatigue and Comments

Current fatigue

0
10
No fatigue
Worst fatigue imaginable

Please provide any additional comments about your fatigue that you wish to share.

Patient Watch Form - 7/31/2026