Surgical Recovery Scale

Please think about the last two days and tick the box that applies best to you.

Almost Some of Fairly Very All of the

Not at all Never the time Often Often time
During the last two days … ▼ ▼ ▼ ▼ ▼ ▼
1. I have been feeling energetic 6 5 4 3 2 1

2. I have been feeling worn out 1 2 3 4 5 6

3. I have been feeling vigorous 1 2 3 4 5 6

4. I have done very little with the day 1 2 3 4 5 6

5. I have been feeling fatigued 6 5 4 3 2 1

6. Physically, I have felt tired 1 2 3 4 5 6

7. I have had to restrict how much I

2 3 4 5 6 1
try and do in a day
8. I have been feeling lively 6 5 4 3 2 1

Sometimes, Nearly Not

Not at Only but less as often As often applicable
During the last two days, all occasionally than usual as usual as usual to me
I have been able to… ▼ ▼ ▼ ▼ ▼ ▼
9. Read a newspaper/book or watch
1 2 3 4 5
TV
10. Dress 1 2 3 4 5

11. Visit or socialize with family and

1 2 3 4 5
friends
12. Engage in leisure or recreational
1 2 3 4 5
activities
13. Shop or do errands 1 2 3 4 5 9