1. 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 today?
3. What best describes your pain at its WORST in the last week
4. What best describes your pain at its LEAST in the last week
5. What best describes your pain on AVERAGE
6. How much pain do you have RIGHT NOW
7. In the last week, how much RELIEF have pain treatments or medications provided?
8. Describe how, during the past week, PAIN HAS INTERFERED with your:
A. Daily schedule
B. Mood
C. Walking ability
D. Normal work (incl. both outside home & housework)