THE ENERGY QUESTIONNAIRE

INSTRUCTIONS:

What follows is a series of questions pertaining to your energy level. For each question, please answer “yes”, “no”, or “don’t know”..

QUESTIONNAIRE:

1. Do you often feel tired?
2. Do you often have trouble falling asleep?
3. Do you wake up repeatedly during the night?
4. Do you feel weak all over?
5. Do you have the feeling that you haven’t been accomplishing much lately?
6. Do you have the feeling that you can’t cope with everyday problems as well as you used to?
7. Do you believe that you have come to a ‘dead end’?
8. Do you lately feel more listless than before?
9. I enjoy sex as much as ever.
10. Have you experienced a feeling of hopelessness recently?
11. Does it take more time to grasp a difficult problem than it did a year ago?
12. Do little things irritate you more lately than they used to?
13. Do you feel you want to give up trying?
14. I feel fine.
15. Do you sometimes feel that you body is like a battery that is losing its power?
16. Would you want to be dead at times?
17. Do you have the feeling these days that you just don’t have what it takes anymore?
18. Do you feel dejected?
19. Do you feel like crying sometimes?
20. Do you ever wake up with a feeling of exhaustion and fatigue?
21. Do you have increasing difficulty in concentrating on a single problem?

INTERPRETING YOUR RESULTS:

This is not a diagnostic tool, as it is only meant to help you check in with yourself and identify areas of your health that need your attention.

Aside from item 9 and 14, answering ‘yes” to most of the questions could potentially be a sign that you are feeling overwhelmed and close to exhaustion.

As always, consult a healthcare professional if you feel overwhelmed.

See our emergency contact list if you don’t know who to call