Symptom Discomfort Scale
Please rate the following symptoms from 0 to 10, where 0 indicates no discomfort and 10 indicates the worst discomfort imaginable.
If the symptom is not occurring, please select N/A.
Symptom Frequency Scale
Please rate the following symptoms according to the frequency with which they occur, where 0 indicates never and 10 indicates constantly.
Edit each of the following images to show exactly where your pain is and how it feels.
Click the pencil to edit each image.