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Articles on Adrenal Fatigue

Adrenal Fatigue Questionaire

Instructions: Please enter the appropriate response number to each statement in the column below.

0 = Never / Rarely

1 = Occasionally / Slightly

2 = Moderate in Intensity or Frequency

3 = Intense / Severe or Frequent

Key Signs and Symptoms

1. _______ My ability to handle stress and pressure has decreased.

2. _______ I am less productive at work.

3. _______ I seem to have decreased in cognitive ability. I don’t think as clearly as I used to.

4. _______ My thinking is confused when hurried or under pressure.

5. _______ I tend to avoid emotional situations.

6. _______ I tend to shake or am nervous when under pressure.

7. _______ I suffer from nervous stomach indigestions when tense.

8. _______ I have many unexplained fears/anxieties.

9. _______ My sex drive is noticeably less than it used to be.

10._______ I get lightheaded or dizzy when rising rapidly from a sitting or lying position.

11._______ I have feelings of graying out or blacking out.

12._______ I am chronically fatigued; a tiredness that is not usually relieved by sleep.

13._______ I feel unwell most of the time.

14._______ I notice that my ankles are sometimes swollen – the swelling is worse in the evening.

15._______ I usually need to lie down or rest after sessions of psychological or emotional pressure/stress.

16._______ My muscles sometimes feel weaker than they should.

17._______ My hands and legs get restless – experience meaningless body movements.

18._______ I have become allergic or have increased frequency/severity of allergic reactions.

19._______When I scratch my skin a white line remains for a minute or more.

20._______ Small irregular dark brown spots have appeared on my forehead, face, neck and shoulders.

21. _______I sometimes feel weak all over.

22. _______I have unexplained and frequent headaches.

23. _______I am frequently cold.

24. _______I have decreased tolerance for cold.

25. _______I have low blood pressure.

26. _______I often become hungry, confused, shaky, or somewhat paralyzed under stress.

27. _______I have lost weight without reason while feeling very tired and listless.

28. _______I have feelings of hopelessness and despair.

29. _______I have decreased tolerance. People irritate me more.

30. _______The lymph nodes in my neck are frequently swollen. (I get swollen glands on my neck)

31._______ I have times of nausea and vomiting for no apparent reason.

     _______ Total

Energy Patterns

1. _______ I often have to force myself in order to keep going. Everything seems like a chore.

2. _______ I am easily fatigued.

3. _______ I have difficulty getting up in the morning (don’t really wake up until after 10:00 AM)

4. _______ I suddenly run out of energy.

5. _______ I usually feel much better and fully awake after the noon meal.

6. _______ I often have an afternoon low between 3:00-5:00 PM.

7. _______ I get low energy, moody, foggy if I do not eat regularly.

8. _______ I usually feel my best after 6:00 PM.

9. _______ I am often tired at 9:00-10:00 PM, but resist going to bed.

10._______I like to sleep late in the morning.

11._______ My best, most refreshing sleep often comes between 7:00-9:00 AM.

12._______ I often do my best work late at night (early in the morning).

13._______ If I don’t go to bed by 11:00 PM I get a second burst of energy, often lasting until
                    1:00-2:00 AM.



Frequently Observed Events

1. _______ I get coughs/colds that stay around for several weeks.

2. _______ I have frequent or recurring bronchitis, pneumonia or other respiratory infections.

3. _______ I get asthma, colds and other respiratory involvements two or more times per year.

4. _______ I frequently get rashes, dermatitis or other skin conditions.

5. _______ I have rheumatoid arthritis.

6. _______ I have allergies to several things in the environment.

7. _______ I have multiple chemical sensitivities.

8. _______ I have chronic fatigue syndrome.

9. _______ I get pain in the muscles of my upper back and lower neck for no apparent reason.

10._______I get pain in the muscles on the sides of my neck.

11._______I have insomnia or difficulty sleeping.

12._______I have fibromyalgia.

13._______ I suffer from asthma.

14._______ I suffer from hay fever.

15._______ I suffer from nervous breakdowns.

16._______ My allergies are becoming worse (more severe/frequent/diverse)

17._______ The fat pads on palms of my hands and/or tips of my fingers are often red.

18._______ I bruise more easily than I used to.

19._______ I have a tenderness in my back near my spine at the bottom of my rib cage when pressed.

20._______ I have a swelling under my eyes upon rising that goes away after have been up for a couple of

The next 2 questions are for women only

21._______ I have increasing symptoms of PMS such as cramps, bloating, moodiness, irritability, emotional
                    instability, headaches, tiredness and/or intolerance before my period (only some of these need
                    be present).

22._______ My periods are generally heavy but they often stop, or almost stop, on the fourth day, only to
                    start up profusely on the 5th or 6th day.

     _______ Total

Food Patterns

1. _______ I need coffee or some other stimulant to get going in the morning.

2. _______ I often crave food high in fat and feel better with high fat foods.

3. _______ I use high fat foods to drive myself.

4. _______ I often use high fat foods and caffeine containing drinks (coffees, colas, chocolate) to drive  

5. _______ I often crave salt and/or foods high in salt. I like salty foods.

6. _______ I feel worse if I eat high potassium foods (like bananas, figs, raw potatoes), especially if I eat
                   them in the morning.

7. _______ I crave high protein foods (meats, cheeses).

8. _______ I crave sweet foods (pies, cakes, pastries, doughnuts, dried fruits, candies or desserts).

9. _______ I feel worse if I miss or skip a meal.

    _______ Total


Aggravating Factors

1. _______ I have constant stress in my life or work.

2. _______ My dietary habits tend to be sporadic and unplanned.

3. _______ My relationships at work and/or home are unhappy.

4. _______ I do not exercise regularly.

5. _______ I eat lots of fruit.

6. _______ My life contains insufficient enjoyable activities.

7. _______ I have little control over how I spend my time.

8. _______ I restrict my salt intake.

9. _______ I have gum and/or tooth infections and abscesses.

10._______ I have meals at irregular times.

     _______ Total


Relieving Factors

1._______ I feel better almost right away once a stressful situation is resolved.

2. _______Regular meals decrease the severity of my symptoms.

3. _______ I often feel better after spending a night out with my friends.

4. _______ I often feel better if I lie down.

5. _______ Other relieving factors_________________________________

    _______ Total


Scoring and Interpretation of the Questionnaire

A lot of information can be obtained from this questionnaire. Follow the instructions carefully to score your questionnaire correctly. Then proceed to the interpretation section.

Total Number of Questions Answered

1. Count the total number of questions in each section that you answered with any number other than zero. Note: There are no entries for the first section of the questionnaire entitled “Predisposing Factors.” This section is dealt with separately.

2. After you have finished entering the number of questions answered in both columns for each

section, sum all the numbers for each column and enter the total in the “Grand Total (Total
” boxes on the bottom row of the scoring chart.

Total Number of Questions Answered


Name of Section

Total Responses

Key Signs & Symptoms
31 Questions


Energy Patterns
13 Questions


Frequently Observed Events
20 for Men/22 for Women


Food Patterns

9 Questions


Aggravating Factors

10 Questions


Relieving Factors

4 Questions


Grand Total (Total Responses)


Total Points

This part of the scoring adds up the actual numbers (0,1, 2 or 3) you put beside the questions when you were answering the questionnaire. Add these numbers for each column in each section and enter them into the appropriate boxes in the chart below. Then, sum each column to get the “Grand Total (Total Points)”. Enter these totals in the bottom 2 boxes to complete this part of the scoring.

Total Points


Name of Section

Total Points

Key Signs & Symptoms

93 points possible


Energy Patterns

39 points possible


Frequently Observed Events

60 points possible (men) – 66 (women)


Food Patters

27 points possible


Aggravating Factors

30 points possible


Relieving Factors

12 points possible


Grand Total (Total Points)



Interpreting the Questionnaire

The questionnaire is a valuable tool for determining if you have adrenal fatigue and, if you do, the severity of your syndrome. Of course, the accuracy of its interpretation depends on you completing every section as accurately and honestly as possible. Because there is such a diversity in how individuals experience adrenal fatigue, a wide variety of signs and symptoms have been included. Some people have only the minimal number of symptoms, but the symptoms they do have are severe. Others experience a great number of symptoms, but most of their symptoms are relatively mild. That is why there are two kinds of scores to indicate adrenal fatigue.

Total Number of Questions Answered: This gives you a general “Yes or No” answer to the question “Do I have adrenal fatigue?” Look at your “Grand Total (Total Responses” scores in the first scoring chart. The purpose of this score is to see the total number of signs and symptoms of adrenal fatigue you have. There are a total of 87 questions for men and 89 for women in the questionnaire. If you responded to more than 26 (men) of 32 (women) of the questions (regardless of which severity response number you gave the question), you have some degree of adrenal fatigue. The greater the number of questions that you responded to, the greater your adrenal fatigue. If you responded affirmatively to less than 20 of the questions, if is unlikely adrenal fatigue is your problem. People who do not have adrenal fatigue may still experience a few of these indicators in their lives, but not many of them. If your symptoms do not include fatigue or decreased ability to handle stress, then you are probably not suffering from adrenal fatigue.

Total Points: The total points are used to determine the degree of severity of your adrenal fatigue. If you ranked every question as 3 (the worst) your total points would be 261 for men and 267 for women. If you scored under 40, you either have only slight adrenal fatigue or none at all. If you scored between 44-87 for men or 45-88 for women, then overall you have a mild degree of adrenal fatigue. This does not mean that some individual symptoms are not severe, but overall your symptom picture reflects mildly fatigued adrenals. If you scored between 88-130 for men or 89-132 for women, your adrenal fatigue is moderate. If you scored above 130 for men or 132 for women, then consider yourself to be suffering from severe adrenal fatigue. Now compare the total points of the different sections with each other. This allows you to see if 1 or 2 sections stand out as having more signs and symptoms than the others. If you have a predominating group of symptoms, they will be the most useful ones for you to watch as indicators as you improve. Seeing which sections stand out will also be helpful in developing your recovery program.

Severity Index: The Severity Index is calculated by simply dividing the total points by the total number of questions you answered in the affirmative. It gives an indication of how severely you experience the signs and symptoms, with 1.0 – 1.6 being mild, 1.7 - 2.3 being moderate, and 2.4 on up being severe. This number is especially useful for those who suffer from only a few of these signs and symptoms, but yet are considerably debilitated by them.

Past vs. Now: Now compare the total points in the “Past” column to the total points in the “Now” column. The difference indicates the direction your adrenal health is taking. If the number in the “Past” column is greater than the number in the “Now” column, then you are slowly healing from hypoadrenia. It is a good sign you are healing, but you will still want to read my book to accelerate your improvement. If the number in the “Now” column is greater than the number in the “Past” column, your adrenal glands are on a downhill course and you need to take immediate action to prevent further decline and to recover. Now complete the section below.

Answer the following questions only if you scored more than 12 on the questions

marked with an asterisk (*).

Additional Symptoms (ones that are present now)

The areas on my body listed below have become bluish-black in color:

_____ Inside of lips, mouth

_____ Vagina

_____ Around nipples

_____ I have frequent unexplained diarrhea

_____ I have increased darkening around the bony areas, at folds in my skin, scars and the creases in my joints.

_____ I have light colored patches on my skin where the skin has lost its usual color.

_____ I easily become dehydrated.

_____ I have fainting spells.

Interpretation of the “Predisposing Factors” Section: This section helps determine which factors led to the development of your adrenal fatigue. There may have been only one factor of there may have been several, but the number does not matter. One severely stressful incident can be all it takes for someone to develop adrenal fatigue, although typically it is more. This list is not exhaustive, but the items listed in this section are the most common factors that lead to adrenal fatigue. Use this section to better understand how your adrenal fatigue developed. Seeing how it started often makes clearer what actions you can take to successfully recover from it. This section also leads into a following section that explores more in depth how your adrenal fatigue developed.