Information and testing services for chronic pain and TMJ

CHOOSE ONE ANSWER

 

 

During the past two weeks

What was the average amount (percent) of time your pain was usually present?
0       10       20        30        40       50       60       70        80       90       100
none of the time                                half the time                                     all the time


0 10 20 30 40 50 60 70 80 90 100

 

 

 

 

 

 

How has the average amount of time your pain is usually present varied lately?

(A) Increased ,
(B) Decreased
        (C) Stayed the same


A B C

 

At times, do you notice that your pain seems to be affected by any of the following?

 

 

 

 

(A) Stress or worry (B) Disturbed sleep (C) Certain people (D) Certain situations (E) Getting angry
(F) Emotional upset (G) Sexual activity (H) None of these

A B C D E F G H