Pain

Please rate your pain by indicating the one number that best describes your pain on the average

Please rate your pain by indicating the one number that best describes your pain at its least in the last week

In the past week, have you used any treatments or medications for your pain? (Please include only medications, not treatments such as massage or acupuncture.)

Please rate your pain by indicating the one number that tells how much pain you have right now

Throughout our lives, most of us have had pain from time to time (such as minor headaches, sprains, and toothaches). Have you had pain other than these everyday kinds of pain during the last week?

In the past week, how much relief have you gotten from pain treatments or medications used? Please indicate the one percentage that most shows how much relief you have received. (Please include relief you have received from medications only; do not include relief you have received from treatments such as massage or acupuncture.)

Please rate your pain by indicating the one number that best describes your pain at its worst in the last week