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Pain Impact & Insight Quiz

Discover how pain affects your movement, daily activities, and overall function - and find out where to start your recovery journey. 

✅ Please answer by checking ONE box in each section for the statement that best applies to you.

 

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Question 1 of 8

Part 1 - What is your Pain intensity like?

 

Please answer by checking ONE box in each section for the statement that best applies to you.

A

I have no pain at the moment (0 out of 10 on pain scale)

B

The pain is very mild at the moment (1 - 3, out of 10 on pain scale)

C

The pain is moderate at the moment (3 - 5, out of 10 on pain scale)

D

The pain is fairly severe at the moment (5 -7, out of 10 on pain scale)

E

The pain is very severe at the moment (7 - 9, out of 10 on pain scale)

F

The pain is the worst imaginable at the moment (> 9 out of 10 on pain scale)

Question 2 of 8

Part 2 - How are you finding Personal Care (e.g. washing, dressing, daily tasks)?

A

I can manage all personal care normally (dressing, washing, hair-care etc.) without causing extra pain.

B

I can manage all personal care normally, but it causes some extra pain.

C

I can manage personal care, but is' slow and painful, and I need to be careful with tasks like washing, dressing or hair care.

D

I need some help with personal care, but I can manage most tasks independently.

E

I need daily help for most personal care tasks, including washing, dressing or hair care.

F

I am mostly dependent on others for personal care, I can only do essential tasks with difficulty.

Question 3 of 8

Part 3 - How do you find Household Care? (e.g. cooking, cleaning, dishes, hoovering)

A

I can manage all household tasks normally without causing extra pain.

B

I can manage all household tasks, but it causes some extra pain.

C

I can manage household tasks, but it is slow and painful, and I need to take regular breaks.

D

I can manage households tasks, but I have to push through pain; my pain is always worse afterwards.

E

I can only manage some household tasks due to pain, but most I either avoid doing them or require help.

F

Pain prevents me managing household tasks independently, I only do essential tasks with difficulty.

Question 4 of 8

Part 4 - How do you find Lifting

A

I can lift heavy items (e.g. suitcase, rubbish bin.) without increasing my pain

B

I can lift and carry everyday items (e.g. groceries, a small suitcase < 10kg. ) without increasing my pain

C

I can lift and carry everyday items, but it increases my pain

D

Pain prevents me lifting everyday items off the floor - but I can lift everyday items from a convenient height (e.g. counter or table).

E

Pain prevents me lifting all every day items off the floor - and I can only lift very light items < 2kg if conveniently placed.

F

Pain prevents me from lifting everyday items altogether.

Question 5 of 8

Part 5 - How is your Sleep?

A

My sleep is not affected by pain, and I wake feeling rested.

B

I usually sleep through the night, but pain occasionally disturbs my sleep or comfort.

C

I get a reasonable amount of sleep, but pain causes restless sleep and I often wake feeling tired or or unrefreshed.

D

Pain regularly disrupts my sleep, and I get less than 6 hours most nights.

E

Pain significantly limits my sleep, and I get less than 4 hours most nights.

F

Pain prevents me from getting meaningful sleep most nights.

Question 6 of 8

Part 6 - How do you find Sitting? 

A

I can sit comfortably in any chair or in my car for as long as I like, without pain limiting me.

B

I can sit comfortably in most chairs and in then car, though certain seats may cause mild discomfort.

C

I can sit comfortably only in certain chairs or positions (e.g. my favourite chair or with extra support), but the car seat and driving can be uncomfortable.

D

Pain limits my sitting to about an hour, including when driving or as a passenger in the car.

E

Pain limits my sitting to about 30 minutes, particularly in the car or unsupported chairs.

F

Pain limits my sitting to less than 10 minutes or prevents me from sitting comfortably at all, including the car.

Question 7 of 8

Part 7 - How do you find Standing? 

A

I can stand comfortably as long as l like, without pain limiting me.

B

I can stand as long as I like, but pain develops if I stay still and I need to move or shift position.

C

Pain limits my ability to stand to about 30 minutes, even with movement.

D

Pain limits my ability to stand to about 10 minutes, particularly if I have to stand still.

E

Pain limits my ability to stand to about 3 minutes, even with frequent movement or support.

F

Pain prevents me from standing comfortably at all.

Question 8 of 8

Part 8 - How do you find Walking?

 

A

Pain does not limit my walking at all, and I can walk at a normal pace for as long as I like.

B

I can walk at a normal pace, but pain develops if I walk faster or have to hurry.

C

Pain limits my walking to about 30 minutes at a normal pace.

D

Pain limits my walking to about 10 minutes, or I have to slow down significantly to tolerate it.

E

I can only walk very slowly, taking frequent breaks due to pain.

F

Pain prevents me from walking any distance, I only walk when it's essential.

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