Instrument template · FatigueUpdated September 28, 2026

FACIT-Fatigue eCRF template

Thirteen items about tiredness and its effect on daily life over the past seven days, scored 0 to 52 where higher means less fatigue. Used across oncology, rheumatology, haematology and autoimmune trials. Build it with your licensed wording and licence details on the form.

  • 13 items, 0 to 52
  • Seven-day recall
  • Licence tracked on the form

Free sandbox · No credit card · 21 CFR Part 11 aligned

FACIT-Fatigue · Subject 019-0011

Week 12 total

38 / 52

Less fatigue
0-29 Significant fatigue in some cancer studies30-52 Less fatigue
Baseline27
Week 433
Week 1238
Thresholds vary by population

At a glance

  • Part of the FACIT (Functional Assessment of Chronic Illness Therapy) measurement system. Use requires a licence agreement through FACIT.org.
  • 13 items, each rated 0 to 4 (not at all to very much) for the past seven days.
  • Most items are worded negatively and are reverse scored, so the total runs from 0 to 52 with higher scores meaning less fatigue.
  • A change of about 3 to 4 points is commonly cited as clinically important, though estimates vary by condition.
  • The same 13 items form the fatigue subscale of the FACIT-F, which adds the FACT-G core questionnaire.

In trials

Where fatigue matters as an outcome

Fatigue is one of the most burdensome symptoms of cancer and its treatment, of anaemia, and of chronic inflammatory diseases such as rheumatoid arthritis and lupus. It is also a common side effect. FACIT-Fatigue is short, well validated across these populations, and available in many languages, which is why it appears as a secondary endpoint in so many trials.

Because higher scores mean less fatigue, direction is the most common source of reporting errors. Label the direction clearly in the analysis plan and data dictionary, and make sure reverse scoring is applied exactly once.

Scoring with missing items

FACIT scoring guidance allows a prorated score when more than half of the items are answered. On an electronic form, requiring every item avoids the problem, but agree the rule in the analysis plan either way.

FACIT-Fatigue · Week 12

Past 7 days · approved licensed version

Item 1

HI7
Not at all (0)A little bit (1)Somewhat (2)Quite a bit (3)Very much (4)
Licensed wording goes in your approved build

Scoring

FACIT-Fatigue scoring steps

StepWhat happens
1Each item is answered 0 to 4 for the past seven days.
2Negatively worded items are reversed (4 minus the response); the two positively worded items are not.
3Item scores are summed.
4If some items are missing, the sum is prorated: sum × 13 ÷ items answered, when more than half are answered.
5The result, 0 to 52, is reported with higher scores meaning less fatigue.

Follow the official FACIT scoring guidelines supplied with your licence.

In Capture

Licensed instruments with licence control

Each licensed form records the licence number, licence holder and expiry. If the licence lapses, new collection is blocked. Participants complete the questionnaire on their own phone with reminders, and raw item values export with labels so scoring can be applied once, in analysis.

  • Licence number, holder and expiry on the form.
  • Raw coded values in every export.
  • Weekly or visit-based schedules.
eCOA software for clinical trials
PROMIS SF v1.0 · Fatigue 8a · Settings

Copyright & licence

Approval pending
Licence required

Licence number

Not recorded

Expiry date

Not recorded

Watermark shown to staff only. Participants never see it.

Add a licensed fatigue questionnaire to a study

Record the licence details and test it on your phone.

Use the FACIT-Fatigue template free

Populations

Interpreting scores in different conditions

General population averages sit in the low 40s, while people with cancer or inflammatory disease often score in the 20s or 30s. A cut-off around 30 has been used to identify clinically significant fatigue in some cancer populations, but thresholds are not universal. Use population-specific reference data and anchor-based estimates when defining responders.

In lupus, rheumatoid arthritis and anaemia trials, fatigue often improves alongside disease activity or haemoglobin, so it is worth analysing FACIT-Fatigue next to the clinical measures it depends on. See EDC for lupus and autoimmune trials.

Choosing a fatigue measure

Alternatives include PROMIS fatigue short forms and disease-specific fatigue scales. PROMIS Fatigue 8a is in Capture's library with licence tracking. Choose based on comparator data in your indication, and avoid collecting two fatigue measures without a clear reason for each.

Before go-live

FACIT-Fatigue setup checklist

Licence agreement

Through FACIT.org; details recorded on the form.

Direction documented

Higher scores mean less fatigue.

Reverse scoring

Applied once, in analysis, per the guidelines.

Missing-item rule

Proration rule or all items required.

Schedule

Weekly or at visits, matching the seven-day recall.

Official translations

Supplied under the licence.

FAQ

Questions about this template

Something not covered here? Ask us directly.

Can FACIT-Fatigue be completed at home?

Yes. It is a self-report questionnaire suited to completion on the participant's own phone, scheduled to its seven-day recall.

Is FACIT-Fatigue used outside cancer?

Yes. It is widely used in conditions such as rheumatoid arthritis, lupus and anaemia.

How is FACIT-Fatigue scored?

Thirteen items rated 0 to 4 are reverse scored where needed and summed for a total of 0 to 52. Higher scores mean less fatigue.

What is a clinically important change?

About 3 to 4 points is commonly cited, though estimates vary by condition.

Is FACIT-Fatigue free?

Use requires a licence agreement through FACIT.org. Terms depend on the type of use.

What is the recall period?

The past seven days.

What is the difference between FACIT-Fatigue and FACIT-F?

FACIT-F combines the 27-item FACT-G with the 13 fatigue items. FACIT-Fatigue is the 13-item scale on its own.

Does Capture apply reverse scoring?

Raw item values are stored with labels, and scoring rules are applied in analysis.

Fatigue measured the validated way

Licensed instruments with licence control. Free sandbox.

Use the FACIT-Fatigue template free