| 106449-2 | Rate your pain level at the present moment:Find:Pt:^Patient:Ord: | |
| 106450-0 | How much does your pain interfere with your daily activities:Find:Pt:^Patient:Ord: | |
| 106451-8 | How much has your pain changed your ability to work:Find:Pt:^Patient:Ord: | |
| 106452-6 | How much has your pain changed your satisfaction from social and recreational activities:Find:Pt:^Patient:Ord: | |
| 106453-4 | How supportive is your significant other in relation to your pain:Find:Pt:^Patient:Ord: | |
| 106454-2 | Rate your overall mood during the past week:Find:Pt:^Patient:Ord: | |
| 106455-9 | How severe has your pain been during the last week:Find:Pt:^Patient:Ord: | |
| 106456-7 | How much has your pain changed your ability to participate in recreational and other social activities:Find:Pt:^Patient:Ord: | |
| 106457-5 | How much has your pain changed your satisfaction from family-related activities:Find:Pt:^Patient:Ord: | |
| 106458-3 | How worried is your significant other about you in relation to your pain problem:Find:Pt:^Patient:Ord: | |
| 106459-1 | How much control do you feel that you have had over your life during the past week:Find:Pt:^Patient:Ord: | |
| 106460-9 | How much suffering do you experience because of your pain:Find:Pt:^Patient:Ord: | |
| 106461-7 | How much has your pain changed your marriage and other family relationships:Find:Pt:^Patient:Ord: | |
| 106462-5 | How much has your pain changed your satisfaction from work:Find:Pt:^Patient:Ord: | |
| 106463-3 | How attentive is your significant other to your pain problem:Find:Pt:^Patient:Ord: | |
| 106464-1 | How much do you feel you've been able to deal with your problems during the past week:Find:Pt:^Patient:Ord: | |
| 106465-8 | How much has your pain changed your ability to do household chores:Find:Pt:^Patient:Ord: | |
| 106466-6 | How irritable have you been during the past week:Find:Pt:^Patient:Ord: | |
| 106467-4 | How much has your pain changed your friendships with people other than your family:Find:Pt:^Patient:Ord: | |
| 106468-2 | How tense or anxious have you been during the past week:Find:Pt:^Patient:Ord: | |
| 106469-0 | Part 1 Score:Score:Pt:^Patient:Qn:WHYMPI | |