Fatigue is a component of health-related quality of life and is one of the most frequently cited burdens for patients undergoing maintenance hemodialysis.1,2 Although the prevalence and implications of fatigue among patients treated with hemodialysis are being increasingly recognized by the nephrology community, there is no universally agreed upon psychometrically robust patient-reported outcome measure (PROM) to assess fatigue in these patients.3-5 A recent assessment of the Multidimensional Fatigue Inventory 20, a 20-item scale designed to evaluate 5 components of fatigue (general, physical, mental, reduced motivation, and reduced activity), showed poor validity and reliability in hemodialysis.