Fatigue and Workload Assessment Forms
Section A: NASA-TLX (Task Load Index)
Instructions: For each dimension below, rate your experience from 0 (Very Low) to 100
(Very High) after completing the task.
1. Mental Demand: How mentally demanding was the task?
Rating (0–100): __________________________
2. Physical Demand: How physically demanding was the task?
Rating (0–100): __________________________
3. Temporal Demand: How hurried or rushed was the pace of the task?
Rating (0–100): __________________________
4. Performance: How successful were you in accomplishing the task?
Rating (0–100): __________________________
5. Effort: How hard did you have to work to complete the task?
Rating (0–100): __________________________
6. Frustration: How stressed, annoyed, or irritated were you during the task?
Rating (0–100): __________________________
Section B: Custom Likert Fatigue Scale (1–5)
Instructions: Please tick the box that best represents how much you agree with each
statement.
1. I feel physically exhausted after the task.
Options: [1] Strongly Disagree [2] Disagree [3] Neutral [4] Agree [5] Strongly Agree
2. My muscles feel sore or strained.
Options: [1] Strongly Disagree [2] Disagree [3] Neutral [4] Agree [5] Strongly Agree
3. I had to use more force than usual.
Options: [1] Strongly Disagree [2] Disagree [3] Neutral [4] Agree [5] Strongly Agree
4. I feel I need rest before starting another task.
Options: [1] Strongly Disagree [2] Disagree [3] Neutral [4] Agree [5] Strongly Agree
5. I felt comfortable and relaxed during the task. (Reverse scored)
Options: [1] Strongly Disagree [2] Disagree [3] Neutral [4] Agree [5] Strongly Agree