The assessment of fatigue: Psychometric qualities and norms for the Checklist individual strength.
Worm-Smeitink, M, Gielissen, M, Bloot, L et al.·Journal of psychosomatic research·2017
This study tested a questionnaire called the Checklist Individual Strength (CIS) that measures different types of fatigue, including how tired people feel, difficulty concentrating, lack of motivation, and reduced activity levels. Researchers gave this questionnaire to nearly 2,300 healthy people and over 5,000 patients with chronic fatigue to see if it accurately identifies severe fatigue. They found the CIS works well for measuring fatigue and recommended adjusting the score that indicates 'severe fatigue' from 35 to 40 points for ME/CFS research.