Pain, Enjoyment and General Activity (PEG)
A Three-Item Scale Assessing Pain Intensity and Interference
Please enter your unique patient number *
1. What number best describes your pain on average in the past week? *
No pain
Pain as bad as you can imagine
What number best describes how, during the past week, pain has interfered with your enjoyment of life? *
No Pain
Pain as bad as you can imagine
What number best describes how, during the past week, pain has interfered with your general activity? *
No pain
Pain as bad as you can imagine
Submit
Never submit passwords through Google Forms.
This form was created inside of imaginewell.net. Report Abuse