NICE NG206 Post-Exertional Malaise Assessment

NICE-compliant PEM evaluation based on NG206 core criteria

Question 1 of 5

Do you experience a worsening of symptoms after minimal cognitive, physical, emotional or social activity?

NICE: Activity that could previously be tolerated or is minimal in nature

No - I can tolerate normal levels of activity

0 points

Rarely - only after significant exertion

1 point

Sometimes - after moderate activity

2 points

Often - after minimal activity

3 points

Always - any activity worsens symptoms

4 points

NICE NG206 Definition of Post-Exertional Malaise

Post-exertional malaise is a worsening of symptoms after minimal cognitive, physical, emotional or social activity. The worsening is often delayed by hours or days, is disproportionate to the activity, and has prolonged recovery time that may last hours, days, weeks or longer.