Forms can help your health care provider assess the severity of your pain easily and effectively. There are great forms below:
Pain causes poor sleep and poor sleep increases pain. Try this link for Poor Sleep
Referral to Fraser Health Pain Clinic
Pain causes anxiety and depression and pain cannot be managed properly if you have moderate to severe anxiety or depression.
Anxiety: GAD 7 Form
Depression forms – PHQ-9 FORM
Form to assist communication of pain if poor communication evident:
PTSD from trauma causes significant pain, emotional and physical. For information on ComplexPTSD, see the video by Nadine Burke Harris at the end of the Daily Program.
PTSD from single or multiple traumas like rape, accidents, or violence, including war trauma can be found at this link, PTSD Form.
Symptoms of ADHD (attention deficit disorder and hyperactivity) or ADD (attention deficit disorder) can be present if you are in severe chronic pain or emotional distress. Always discuss these issues with hour healthcare provider. Adult ADHD.
Prescribing Opioids? Medication DIRE Score CAGE Score
Complex PTSD is often associated with addictions. Here is a link to a questionnaire relating to problems with addictions to substances.
There are more forms – see Step 1 . Childhood ACE forms and Childhood experiences forms are very useful.