The Monthly Check-in is split into sections. Two of the sections are optional.
The Monthly Check-in uses standardized questions
The questions are asked in the same way for every Visible member. They use format called PROMIS, which is a set of questions used widely in healthcare and research.
Questions are scored in a standard way. The standard wording is what helps a clinician understand your summary, and compare it with a wider population.
Some questions may not match your situation exactly. Answer each question as it applies to you. There are no right or wrong answers.
Fatigue: 6 questions about your physical energy levels
These ask how fatigued and run-down you've felt over the past 7 days. They also ask how much your fatigue got in the way of everyday physical activity.
Fatigue questions
Fatigue questions
During the past 7 days I feel fatigued
Not at all / A little but / Somewhat / Quite a bit / Very much
During the past 7 days I have trouble starting things because I am tired
Not at all / A little but / Somewhat / Quite a bit / Very much
In the past 7 days how run down do you feel on average?
Not at all / A little but / Somewhat / Quite a bit / Very much
In the past 7 days how fatigued were you on average?
Not at all / A little but / Somewhat / Quite a bit / Very much
In the past 7 days how much were you bothered by your fatigue on average
Not at all / A little but / Somewhat / Quite a bit / Very much
In the past 7 days, to what degree did your fatigue interfere with your physical functioning?
Not at all / A little but / Somewhat / Quite a bit / Very much
Thinking: 4 questions about thinking, memory, and multitasking
Your clinician may refer to these questions as Cognitive Function.
These ask how often your thinking felt slow over the past 7 days. They also ask how hard you had to work to keep track of what you were doing.
Thinking questions
Thinking questions
In the past 7 days my thinking has been slow
Never / Rarely (once) / Sometimes (two or three times) / Often (about once a day) / Very often (several times a day)
In the past 7 days it has seemed like my brain was not working as well as usual
Never / Rarely (once) / Sometimes (two or three times) / Often (about once a day) / Very often (several times a day)
In the past 7 days I have had to work harder than usual to keep track of what I was doing
Never / Rarely (once) / Sometimes (two or three times) / Often (about once a day) / Very often (several times a day)
In the past 7 days I have had trouble shifting back and forth between different activities that require thinking
Never / Rarely (once) / Sometimes (two or three times) / Often (about once a day) / Very often (several times a day)
Movement: 4 questions about everyday activities
Your clinician may refer to these as Physical Function.
These ask how easily you can do chores, go up and down stairs, walk for 15 minutes and run errands.
If a question doesn't apply to you, give the answer that's truest for your situation.
Movement questions
Movement questions
Are you able to do chores such as vacuuming or yard work?
Without any difficulty / With a little difficulty / With some difficulty / With much difficulty / Unable to do
Are you able to go up and down stairs at a normal pace?
Without any difficulty / With a little difficulty / With some difficulty / With much difficulty / Unable to do
Are you able to go for a walk for at least 15 minutes?
Without any difficulty / With a little difficulty / With some difficulty / With much difficulty / Unable to do
Are you able to run errands and shop?
Without any difficulty / With a little difficulty / With some difficulty / With much difficulty / Unable to do
Social roles: 4 questions about keeping up with your social roles
Your clinician may refer to these questions as Social Roles and Activities.
These ask how much trouble you have doing your usual work, family activities, leisure activities, and activities with friends.
Activities questions
Activities questions
I have trouble doing all of my regular leisure activities with others
Never / Rarely / Sometimes / Usually / Always
I have trouble doing all of the family activities that I want to do
Never / Rarely / Sometimes / Usually / Always
I have trouble doing all of my usual work (include work at home)
Never / Rarely / Sometimes / Usually / Always
I have trouble doing all of the activities with friends that I want to do
Never / Rarely / Sometimes / Usually / Always
Symptom delay: 3 optional questions about the effect of activity
This section is optional.
These questions are not part of the standard PROMIS questionnaire. While PROMIS doesn't ask about delayed symptoms (often called post exertional malaise, or PEM), we believe this is important to track over time.
Thinking about the past month, these questions ask how long you can spend on physically, mentally or emotionally demanding activity before you feel significantly worse the next day.
Symptom delay
Symptom delay
Over the last month, how long can you engage in physical activity, before you feel significantly worse the next day?
Not at all / An hour or less / A few hours / Half a day / Most of a day / A full day / No worsening
Over the last month, how long can you engage in focused mental activity, before you feel significantly worse the next day?
Not at all / An hour or less / A few hours / Half a day / Most of a day / A full day / No worsening
Over the last month how long can you engage in emotionally demanding situations, before you feel significantly worse the next day?
Not at all / An hour or less / A few hours / Half a day / Most of a day / A full day / No worsening
Pain interference: 1 optional question about pain
This section is optional.
The Pain interference question asks:
How much did pain interfere with your day to day activities?
Not at all / A little bit / Somewhat / Quite a bit / Very much
At 3, 6 and 12 months, we ask about your progress
At 3, 6 and 12 months after you set up your Visible account, the check-in opens with 1 extra question. It asks how your overall status has changed since you started using Visible.
Your answer helps us understand whether Visible is helping people. It doesn't change your other results.
Other things going on can affect your answers
Some of these questions ask about a set period, usually the past 7 days or the past month. An infection, a new medication, or where you are in your cycle can all shape how you answer.
Your summary shows the Evening Check-in trackers you logged over the same period, so you can look back and see what else was happening that month.
Answer from your own experience
It is OK to have someone read the questions to you. What matters is that the answers are about how you feel, not how someone else thinks you are doing.
Answering the same way each month keeps your results comparable.
The check-in isn't a medical assessment
The check-in is designed to help you understand your health and what affects it. It isn't designed for medical diagnosis, treatment, cure, or disease prevention. Check with a health provider before making any medical decisions.