Press Calculate at end for the interview result
Symptom Severity Scale (SS)
Phase 1
Indicate the severity of your symptoms during the last week as gravity.
1. Fatigue:
There has been a problem
Slight or mild problem, generally mild or intermittent
Moderate, considerable problem, often present and/or at a moderate level
Severe: pervasive, continuous, life-disturbing problem
2. Waking unrefreshed:
There has been a problem
Slight or mild problem, generally mild or intermittent
Moderate, considerable problem, often present and/or at a moderate level
Severe: pervasive, continuous, life-disturbing problem
3. Cognitive symptoms, or it could be that you have:
- You may have:
Confusions or poor motor coordination.
- Decrease of short-term or long-term memory; for example: you may also have difficulty remembering information, or have trouble finding the right words when speaking.
- Slowness of memory and thought sometimes with impaired judgment feel distracted or disorganized, or have difficulty planning and carrying through tasks. It may be harder for you to focus in situations that divide your attention, like a group conversation. When facing a task or situation on your own, you may feel overwhelmed by having to make choices.
So these cognitive disorders:
There have been a problem
Slight or mild problems, generally mild or intermittent
Moderate, considerable problems, often present and/or at a moderate level
Severe: pervasive, continuous, life-disturbing problems
Phase 2
Check the symptoms suffered during last week
Muscle pain
Irritable bowel syndrome
Fatigue/tiredness
Thinking or remembering problem
Muscle weakness
Headache
Pain/cramps in the abdomen
Numbness/tingling
Dizziness
Insomnia
Depression
Constipation
Pain in the upper abdomen
Nausea
Nervousness
Chest pain
Blurred vision
Fever
Diarrhea
Dry mouth
Itching
Wheezing
Raynaud's phenomenon
Hives/welts
Ringing in ears
Vomiting
Heartburn
Oral ulcers
Loss of/change in taste
Seizures
Dry eyes
Shortness of breath
Loss of appetite
Rash
Sun sensitivity
Hearing difficulties
Easy bruising
Hair loss
Frequent urination
Painful urination
Bladder spasms
Previous 