Pain & Symptom Assessment

Congratulations on taking a meaningful step to address your chronic pain and symptoms.
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Your responses to the following questions can be helpful in determining if your symptoms may be responsive to a mind-body approach. Please note that this questionnaire is for educational purposes only and is not intended to provide a medical diagnosis or advice. Always consult with a licensed medical professional to rule out any serious medical conditions. 

Please answer every question and add up your score based on the scoring key that follows the questionnaire. Next, proceed to the 2nd section to interpret your score. In general, the higher your score, the more likely it is that your symptoms have a neuroplastic component, and that you could be responsive to a mind-body approach.

 

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