Your energy What is your age range? Age range 18–24 ✓ 25–34 ✓ 35–44 ✓ 45–54 ✓ 55–64 ✓ 65 or over ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Your energy Compared with your usual level, how has your energy felt over the past 7 days? Energy compared with usual Higher than usual ✓ About usual ✓ A little lower than usual ✓ Much lower than usual ✓ Not sure ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Your energy On an average day over the past 7 days, how much energy have you had? Average energy 0 1 2 3 4 5 6 7 8 9 10 No energy Full energy Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Your energy Over the past 2 weeks, what has happened to your energy? Change in energy Improved ✓ Stayed about the same ✓ Gradually worsened ✓ Worsened quickly ✓ Changed a lot from day to day ✓ Not sure ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Your energy How long has your energy been at this level? Length of time This is my usual level ✓ Less than 2 weeks ✓ 2–6 weeks ✓ 6 weeks–3 months ✓ 3–12 months ✓ More than 1 year ✓ Not sure ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Your energy Did your energy change after any of these? Choose up to two Choose up to 2 0 selected An illness or infection ✓ A major stress or life event ✓ A change in sleep, work or caring duties ✓ A change in eating, weight or exercise ✓ Starting or changing a medicine or treatment ✓ No clear trigger or no recent change ✓ Not sure ✓ You can select up to 2. Deselect one to choose another. Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Your energy How much does your current energy affect daily life? Effect on daily life Not at all ✓ I notice it but have not changed anything ✓ I need more breaks ✓ I have reduced some activities ✓ I struggle with basic daily tasks ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Your energy Which descriptions apply to your energy? Choose up to two. Choose up to two Choose up to 2 0 selected I wake up still feeling tired ✓ I feel sleepy during the day ✓ My physical stamina feels low ✓ I struggle to think or concentrate ✓ My energy drops after meals ✓ My energy drops after stress or activity ✓ None of these — my energy feels normal ✓ You can select up to 2. Deselect one to choose another. Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Sleep and recovery How much sleep do you usually get in 24 hours? Usual sleep Less than 5 hours ✓ 5–6 hours ✓ 6–7 hours ✓ 7–9 hours ✓ More than 9 hours ✓ It varies too much to say ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Sleep and recovery How often do you wake up still feeling tired? Waking tired Rarely or never ✓ Some mornings ✓ About half of mornings ✓ Most mornings ✓ Every morning ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Sleep and recovery Which best describes your usual sleep schedule? Sleep schedule Regular sleep and wake times ✓ I regularly go to sleep late ✓ My sleep and wake times vary ✓ I work shifts or have very early starts ✓ Caring duties regularly interrupt my sleep ✓ Symptoms regularly interrupt my sleep ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Sleep and recovery Which sleep problems happen regularly? Select all that apply Select all that apply 0 selected Trouble falling asleep ✓ Waking repeatedly during the night ✓ Loud snoring, gasping or breathing pauses ✓ Pain, restless legs or physical discomfort ✓ Falling asleep unintentionally during the day ✓ None of these ✓ Not sure ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Sleep and recovery What usually happens after physical or mental activity? After activity I return to normal the same day ✓ I feel tired but return to normal by the next day ✓ I feel worse later that day or the next day ✓ I remain worse for 2 days or longer ✓ I avoid activity because of how I feel afterwards ✓ I am not sure ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Activity and food How active are you during a normal day? Normal daily activity Seated for most of the day ✓ Mostly seated with some walking ✓ Regularly walking or on my feet ✓ Physically active for much of the day ✓ My work or routine is physically demanding ✓ It varies a lot ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Activity and food How often do you exercise or train for at least 20 minutes? Exercise frequency Never ✓ Less than once a week ✓ 1–2 times a week ✓ 3–4 times a week ✓ 5 or more times a week ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Activity and food How often do you go more than 6 waking hours without eating? Long gaps without food Rarely or never ✓ 1–2 days a week ✓ 3–4 days a week ✓ Most days ✓ More than once on most days ✓ I deliberately fast ✓ I often find it difficult to eat enough ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Activity and food On most days, how many meals contain a clear protein source? Examples include eggs, yoghurt, meat, fish, tofu, beans or lentils. Meals containing protein None ✓ 1 meal ✓ 2 meals ✓ 3 or more meals ✓ I am not sure what counts ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Activity and food Do any of these affect what you eat? Select all that apply Select all that apply 0 selected Vegetarian ✓ Vegan ✓ Food allergy or intolerance ✓ Medical restriction ✓ Religious or cultural restriction ✓ None of these ✓ Prefer not to say ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Caffeine How many caffeinated drinks or products do you usually have each day? Daily caffeine One serving means one normal tea, coffee, energy drink, pre-workout serving or similar product. None, with no recent change ✓ None now, but I reduced or stopped within the past 6 weeks ✓ 1 serving ✓ 2 servings ✓ 3 servings ✓ 4 or more servings ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Caffeine When do you usually have your final caffeine? Final caffeine I do not use caffeine ✓ Morning only ✓ More than 6 hours before sleep ✓ 3–6 hours before sleep ✓ Within 3 hours of sleep ✓ The timing varies a lot ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Stress and health Over the past 2 weeks, how often has stress made it difficult to switch off? Stress Not at all ✓ Several days ✓ More than half the days ✓ Nearly every day ✓ Prefer not to say ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Stress and health Over the past 2 weeks, which of these have affected you? Select all that apply Select all that apply 0 selected Low mood or feeling hopeless ✓ Less interest or enjoyment in things ✓ Worry that is difficult to control ✓ None of these ✓ Prefer not to say ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Stress and health Do any of these currently apply? Select all that apply Select all that apply 0 selected I started or changed a medicine or treatment in the past 3 months ✓ A medicine regularly makes me sleepy ✓ I use nicotine ✓ Alcohol regularly affects my sleep or next-day energy ✓ I use cannabis, sedating medicines or stimulant substances ✓ None of these ✓ Prefer not to say ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Stress and health Have you been told you have any of these? Select all that apply Select all that apply 0 selected Iron deficiency, anaemia, low B12 or low vitamin D ✓ A thyroid, hormone or blood-sugar condition ✓ Sleep apnoea or another sleep condition ✓ A heart or lung condition ✓ A kidney, liver, digestive or autoimmune condition ✓ None known ✓ Not sure ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Stress and health When did you last have blood tests related to your energy? Most recent blood tests Within the past 3 months ✓ 3–12 months ago ✓ More than 1 year ago ✓ Never ✓ Not sure ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Stress and health Over the past 3 months, have you noticed any of these? Select all that apply Select all that apply 0 selected Unexplained weight or appetite change ✓ Breathlessness, a racing heart or dizziness ✓ Unusual thirst, urination or temperature changes ✓ Ongoing digestive symptoms or unexplained bleeding ✓ Persistent fever, night sweats or unexplained lumps ✓ New weakness, pain, numbness or tingling ✓ None of these ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Stress and health Over the past 3 months, have you noticed any of these? Select all that apply Select all that apply 0 selected Lower sex drive ✓ Fewer morning erections ✓ Loss of strength or muscle ✓ Lower exercise or training performance ✓ None of these ✓ Prefer not to say ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Final checks Are any of these happening now, or have they happened very recently? This check cannot assess an emergency. Select every answer that applies. Select all that apply Select all that apply 0 selected None of these ✓ Chest pain or severe breathlessness while resting ✓ Fainting, sudden weakness, confusion or difficulty speaking ✓ Vomiting blood, black stools or bleeding that will not stop ✓ Thoughts of self-harm or feeling unsafe ✓ Choose one answer to continue. Important: Seek urgent professional help if this is happening now.
Final step Is there anything important we have not asked? Optional — leave blank if there is nothing else to add. Optional note 0 / 180 Choose one answer to continue. Important: Seek urgent professional help if this is happening now.