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Dear Participant in the IMM Clinical Trial on Fatigue:
You are receiving this survey as you had expressed interest in continuing the extended ATP Fuel clinical trial. Please click "Continue" below to start the survey. Should you have difficulty opening the survey, please copy and paste the link below into your browser.
https://fatiguesurveytrial-month6.questionpro.com
Once your completed survey is received, you will be shipped a complimentary 1-month supply of the product for your participation.
Thank you for continuing with the extended trial.
Sincerely yours,
Elaine Hyatt
Clinical Coordinator
The Institute for Molecular Medicine
Phone: 949-474-0667
Email: [email protected]
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| * Date that this survey was taken: |
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| * What day of the study are you taking this survey? |
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| * 1. To what degree is the fatigue you are feeling now causing you distress? |
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| * 2. To what degree is the fatigue you are feeling now interfering with your ability to complete your work or school activities? |
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| * 3. To what degree is the fatigue you are feeling now interfering with your ability to visit or socialize with your friends? |
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| * 4. To what degree is the fatigue you are feeling now interfering with your ability to engage in sexual activity? |
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| * 5. Overall how much is the fatigue, which you are experiencing now, interfering with your ability to engage in the kind of activities you enjoy doing? |
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| * 6. How would you described the degree of intensity or severity of the fatigue which you are experiencing now? |
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| * 7. To what degree would you describe the fatigue which you are experiencing now as being: |
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| * 8. To what degree would you describe the fatigue which you are experiencing now as being: |
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| * 9. To what degree would you describe the fatigue which you are experiencing now as being: |
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| * 10. To what degree would you describe the fatigue which you are experiencing now as being: |
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| * 11. To what degree would you describe the fatigue which you are experiencing now as being: |
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| * 12. To what degree are you feeling: |
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| * 13. To what degree are you feeling: |
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| * 14. To what degree are you feeling: |
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| * 15. To what degree are you feeling: |
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| * 16. To what degree are you feeling: |
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| * 17. To what degree are you feeling: |
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| * 18. To what degree are you feeling: |
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| * 19. To what degree are you feeling: |
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| * 20. To what degree are you feeling: |
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| * 21. To what degree are you feeling: |
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| * 22. To what degree are you feeling: |
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