Step 1 Rate your Experience

Everyone experiences pain and trauma differently. Forms that rate your pain are a great way to improve communication with your health care provider.

Try the form below or the link Forms relating to Pain

Forms relating to Stress, Depression, Anxiety.

These forms are only available to me – I am the only person running this site. Excluding those nasty people out there that hack computers – naughty people – check out the video and you won’t be so mean.

Your Childhood Experiences affect your life. If you feel in a safe place, Try completing this Form. I would suggest you discuss adverse child events scores with your doctor or health care provider before completing the form as it could trigger bad memories or even flashbacks. 

Childhood Experiences Form

Rate your Adult Trauma

Trauma affects Chronic Pain by affecting the Limbic System.

Complete this form – the higher your score the more likely you are to suffer with physical and mental ill health. I believe the mostly negative news and social media exposes us to far more trauma than our ancestors.  Adult Trauma Score

Below is a very brief pain inventory:

Rate your how bad your pain feels to you. Everybody’s pain is different. Record how you experience your pain and improve communication with your health care providers. Click the number next to how you feel.

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Use the print icon below to print it and share with your doctor.