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Consider the overall impact of pain
in the past 2 months
1.
Consider how your pain affects your mood on a scale of 0 to 5 leaves you feeling down or numb or worried most of the time
2.
Consider how your pain affects your movement/walking on a scale of 0 to 5 where 5 leaves you laying down or sitting most of the time
3.
Consider how your pain affects your work/school/housework on a scale of 0 to 5 where 5 leaves you unable to work or study
4.
Consider how much pain affects hobbies/sport activities where 0 is not at all and 5 leaves you unable to do any activities or hobbies
5.
Consider how many hours a day you endure pain 0 to 5 where 1 is one to two hours, 2 two to four hours, 3 is four to five hours, 4 is most of the day, 5 is pain all day
