Lake Louise Score Survey

Welcome to our health assessment survey. This questionnaire is designed to help us understand your current well-being, especially in relation to recent activities and environmental changes you may have experienced. Your honest and accurate responses are crucial for us to provide the best guidance and support. Please answer each question based on how you have been feeling today.

Each question will have a scale from 0 to 3, where:

• 0 means you have not experienced the symptom.
• 1 means the symptom is mild.
• 2 means the symptom is moderate.
• 3 means the symptom is severe.

Remember, there are no right or wrong answers, and your responses are completely confidential. Let’s get started!

Location:


Are you training or living above 2,500m (8,200 ft)?
No Yes

Headache:
0: No headache 1: Mild headache 2: Moderate headache 3: Severe headache

Gastrointestinal Symptoms:
0: No symptoms 1: Mild 2: Moderate 3: Severe

Fatigue/Weakness:
0: No fatigue/weakness 1: Mild 2: Moderate 3: Severe

Dizziness/Light-headedness:
0: None 1: Mild 2: Moderate 3: Severe

Sleeping Difficulty:
0: No trouble 1: Mild trouble 2: Moderate trouble 3: Severe trouble