Pain self assessment questionnaire
Taking (or retaking) the pain self-assessment questionnaire at different times as you progress through the lessons will help you track how much progress you’ve been making.
If you’re a registered user, your results will be sent to you via email.
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- Pain Self-Assessment 0%
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There are no right or wrong answers. However, the higher you score—the more informed you are—the better you’ll be able to manage your pain, and your life.
If you’d like to recieve your assessment results by e-mail, please become a registered user.
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Question 1 of 7
1. Question
5 point(s)How much knowledge do you have about pain?
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Question 2 of 7
2. Question
5 point(s)How much knowledge do you have about pain self care skills/techniques?
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Question 3 of 7
3. Question
5 point(s)How much knowledge do you have of the science supporting pain self care as effective for pain management?
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Question 4 of 7
4. Question
2 point(s)Describe how pain has changed the way you breathe.
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 5 of 7
5. Question
5 point(s)How effectively can you use breathing techniques for any of the following: Distraction/Calming/Moving with greater ease?
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Question 6 of 7
6. Question
4 point(s)Are you able to keep your muscle and body tension low when you perform your daily pain care exercises?
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Question 7 of 7
7. Question
4 point(s)When you perform your daily pain care exercises, are you able to meet your goal of moving with more ease?