Visual Analogue Score and Comments

Allows patients to record pain levels and provide additional comments.

Specialties: general_practice, orthopaedics, sports_medicine, pain_medicine | Areas: general

Time:2 min
Pages:1
Questions:2
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Example Assessment Result

Pain and Comments

Pain Score
3/10
Pain LevelMild Pain
Pain Intensity
3/10
Comments
Optional notes provided
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TimingBaseline
Date15 Jan 2024
Score65
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About the Visual Analogue Score and Comments

A simple pain assessment tool that combines a pain scale (0-10) with optional comments for tracking musculoskeletal pain conditions.

Prevalence:
common

Medical Specialties

General Practice
Orthopaedics
Sports Medicine
Pain Medicine

Anatomic Areas

General

Clinical Indications

Musculoskeletal Pain Assessment
General Pain Tracking

Administration Instructions

Please record your pain and any comments you wish to share.

Score Interpretation

Understanding what your score means

no pain

0 - 2

No pain or minimal discomfort

mild pain

3 - 4

Mild pain that does not interfere with activities

moderate pain

5 - 6

Moderate pain that interferes with some activities

severe pain

7 - 8

Severe pain that interferes with most activities

excruciating pain

9 - 10

Excruciating pain that prevents all activities

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This questionnaire is provided free of charge. Patient Watch charges only for platform services (data storage, automated reminders, analytics) - not for use of clinical instruments. This non-commercial model supports academic and clinical use. View full licensing disclosure