Chronic Fatigue Syndrome (CFS/ME) Self-Assessment

1. For at least the last 6 months, have you had a substantial reduction or impairment in your ability to engage in pre-illness levels of occupational, educational, social, or personal activities, that is accompanied by fatigue which is often profound, new or of a definite onset (not lifelong), not the result of ongoing excessive exertion, and not substantially relieved by rest?

2. Do you experience Post-Exertional Malaise (PEM)? This is a worsening of symptoms after physical, mental, or emotional effort that would not have been a problem before the illness. The fatigue and other symptoms can be severe and last for days or weeks.

3. Do you experience unrefreshing sleep? You may feel tired, exhausted, or "wired" upon waking, even after a full night's sleep, as if you haven't slept at all.

4. In addition to the above, do you experience at least one of the following two symptoms?