Open Validation of the Vienna Post-Exertional Malaise Assessment Questionnaire (V-PEM-AQ) – Rob Wüst

Chandelier

Senior Member (Voting Rights)

ME/CFS & Long COVID patients: we need your help! We’re validating a new tool to measure post-exertional malaise (PEM). Current questionnaires don’t capture its severity or impact. Your input changes that!​
Nov 20, 2025 · 1:45 PM​

The survey takes 20min to fill out.
Here are all infos from the survey page:

Validation of the Vienna Post-Exertional Malaise Assessment Questionnaire (V-PEM-AQ)​

Dear Participant,

Thank you for your interest in our study. The aim of this investigation is to evaluate a newly developed questionnaire designed to assess Post-Exertional Malaise (PEM) in individuals with Myalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS) and Post-COVID-19 Condition (Long COVID).

PEM describes a pathological worsening of existing symptoms following physical, cognitive, emotional, or orthostatic exertion that exceeds the individual’s current tolerance. It is typically characterized by a delayed onset(often 12–48 hours after exertion) and a prolonged recovery period lasting several days or even weeks. This reaction is distinct from ordinary tiredness or fatigue and represents a specific clinical hallmark of these illnesses.

PEM is considered a core diagnostic featureof ME/CFS and is increasingly recognized in Long COVID, yet it has been inadequately assessed to date. Your participation will help us improve the scientific understanding and measurement of this symptom. In the long term, this may contribute to more accurate diagnosis and better-targeted management strategies.

In the first phase of our project, we developed the questionnaire, structured its content, and tested its comprehensibility in a small pilot group. In this second phase, we aim to evaluate how reliably and validly the questionnaire captures PEM and how it compares to existing assessment instruments.


What questions can you expect?​

The online questionnaire takes approximately 20 minutes to complete and encompasses several areas:

  • Personal Information (Sociodemographics): Age, gender, living situation, and employment status.
  • Disease-Related Information:Date of diagnosis, disease progression, previous and current symptoms.
  • Daily Living and Work Capacity:
    • FunCap27 (Functional Capacity Questionnaire): A questionnaire measuring functional capacity, i.e., resilience and abilities in daily life.
  • Symptom Burden and PEM Assessment:
    • DSQ-PEM (DePaul Symptom Questionnaire):An established instrument for assessing PEM.
    • Vienna Post-Exertional Malaise Assessment Questionnaire (V-PEM-AQ):The newly developed instrument now being comprehensively tested and validated.

Alternative Participation for Severely Affected Individuals​

We recognize that many participants are severely impaired. Therefore, you may complete the questionnaire in multiple sessions. Should you have difficulty typing, a family member or caregiver may enter responses on your behalf.


Who can participate?​

  • Minimum age of 18 years
  • Physician-confirmed diagnosis of ME/CFS
  • Ability to read and answer the questionnaire in German or English
  • Voluntary consent to participate

Voluntary Nature of Participation​

Your participation is completely voluntary. You may skip individual questions if you prefer not to answer them. Additionally, you have the right to discontinue participation at any time without providing reasons and without any disadvantages.


Data Protection and Confidentiality​

  • All collected data will be treated strictly confidentially and processed in accordance with applicable data protection regulations (e.g., GDPR).
  • The survey is conducted via the secure platform SoSci Survey; your information is anonymized and cannot be traced back to you.
  • The data will be used exclusively for scientific purposes.
  • Results may be published in professional journals or presented at conferences, but exclusively in anonymized form.
  • No personal data such as name, IP address, or email address will be stored unless you voluntarily provide it (e.g., for future contact).
  • Please note: Should you contact us directly via email or telephone, complete anonymity can no longer be guaranteed.

Ethics and Safety​

This study has been reviewed and approved by the Ethics Committee of the Medical University of Vienna(approval number 1192/2025).


Contact​

Mag.rer.nat. Ali Kapan, PhD
Medical University of Vienna – Center for Public Health
Institute for Social and Preventive Medicine
Kinderspitalgasse 15/1, 1090 Vienna, Austria
Email: ali.kapan@meduniwien.ac.at
Telephone: +43 (0)1 40160-34608


Declaration of Consent​

By proceeding with the questionnaire, you confirm:

  • that you have read and understood the information on this sheet,
  • that you wish to participate voluntarily in the study,
  • that you know you can discontinue your participation at any time without disadvantages.
 
Took me about 30 minutes (including breaks) to complete. Especially the questions where you have to put specific amounts of how severe your PEM is and how long they last was trickt, as I do not constantly track my PEM.

I had to check my calender to make any sense of it, I think the option to use percentages or the requirement that you track your symptoms would make it easier.
 
Unfortunately, I'm unable to fill this form out based on 8 week 'crashes'. It doesn't apply to my disability.

They are going to miss out on mild/moderate pwME who experience severe delayed PEM that pace to avoid it.
You should send feedback!

At the bottom of the page https://www.soscisurvey.de/V-PEM-AQ_english/ is an email address.

I sent feedback because like you I believe the questionnaires is constructed poorly for patients at the milder end.

It has the usual problem of separating activities into "does not trigger PEM" and "triggers PEM" when PEM as I know it is rarely caused by single specific activities simply because I learn to avoid those quickly. It's the combined effect of all activities.

It does give some attention to avoidance of PEM via pacing but not enough in my opinion.

As it stands the questionnaire seems overall worse than Funcap.
 
Last edited:
You can just think back to an 8 week period where you experienced crashes.
I've been doing really well the last 3-4 weeks, going out power walking every second day and I feel as though I didn't even exercise the next day. I'm going out shopping tomorrow while this good streak lasts. Who knows what next week will bring?

It's not that straight forward for those who are mild/moderate. When my immune system acts up(lack of a better word) I'm unable to walk too far and I try not to use up my cognitive energy b/c it's limited. I don't consider this a 'crash' or PEM.

I'm going to email them as Hoopee recommended.
 
My condition does fluctuate, but my delayed PEM does not. It follows the same distinctive onset, symptom pattern, and duration for the last 25+ years not matter how good I feel. I have an energy limit/window and stay strictly within that window, but sometimes I don't feel too bad if I overdo it a bit.

I've had ME for 34yrs, and answering a questionnaire based on the last 8 weeks isn't going to provide them any data on my experience.
 
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