This article discusses how people with multiple sclerosis (MS) perceive an energy conservation (EC) course. The study included 140 people with MS who reported fatigue secondary to MS and participated in a randomized controlled trial of an EC course. Descriptive data from course evaluations collected during the trial were analyzed to determine how participants perceived the quality and helpfulness of the course and ways to improve it. Descriptive statistics, percentages, and frequency of comments demonstrated that the course was rated highly among participants. Participants found the major concepts of the course and the opportunity to interact with others particularly helpful. Suggestions as to how to improve the course included small modifications to the format. The high rate of participant satisfaction supports the use of this EC course for people with MS.