On a scale of 1-10, how intense is your pain? (1 = almost no pain at all, 10 = I need to go to the hospital)
1-4
5-7
7-10
Where is the pain?
How long have you had this pain?
Less than 3 months (Acute)
3 to 12 months (Persistent)
1 to 3 years (Chronic Pattern)
3+ years
What have you done so far to try to get relief?
Has anything worked? If so, what worked?
If you no longer had this pain, how would your life change?
What are you willing to do to get rid of your pain?
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