Anatomic Areas
Clinical Indications
Administration Instructions
Please rate your pain using the provided scale.
Related Outcome Measures
Other clinical questionnaires for similar specialties and conditions
Visual Analogue Score and Comments
Allows patients to record pain levels and provide additional comments.
Fatigue (NRS 0-10) and Comments
Allows patients to record fatigue severity on a 0-10 numerical rating scale and provide additional comments.
Adverse event report
Allows patients to report a possible adverse event related to their treatment in free text.
FlowOx Device Training
Watch the training video before confirming you are ready to proceed.
MS Activities of Daily Living
Choose up to 3 important activities of daily living from a predefined list, then rate your current difficulty with each (0 = no difficulty, 10 = unable to perform).
Prescription Upload
Allows patients to upload a prescription document as a PDF or image.
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