Psychometric Data

Fill in the below ONLY if you are under 60.

  • Brief Pain Inventory

    0 = No pain; 10 = Pain as bad as you can imagine
    0 = No pain; 10 = Pain as bad as you can imagine
    0 = No pain; 10 = Pain as bad as you can imagine
    0 = No pain; 10 = Pain as bad as you can imagine
    0% = No Relief; 100% = Complete Relief
    0 = Does Not Interfere; 10 = Completely Interferes
    0 = Does Not Interfere; 10 = Completely Interferes
    0 = Does Not Interfere; 10 = Completely Interferes
    0 = Does Not Interfere; 10 = Completely Interferes
    0 = Does Not Interfere; 10 = Completely Interferes
    0 = Does Not Interfere; 10 = Completely Interferes
    0 = Does Not Interfere; 10 = Completely Interferes
  • Pain Catastrophizing Scale

  • Everyone experiences painful situations at some point in their lives. Such experiences include headaches, tooth pain, joint or muscle pain. People are often exposed to situations that may cause pain such as illness, injury, dental procedures or surgery.

    Instructions

    We are interested in the types of thoughts and feelings that you have when you are in pain. Listed below are thirteen statements describing different thoughts and feelings that may be associated with pain. Using the following scale, please indicate the degree to which you have these thoughts and feelings when you are experiencing pain.


    When I'm in pain...

    Rating01234
    MeaningNot at allTo a slight degreeTo a moderate degreeTo a great degreeAll the time
  • Tampa Scale for Kinesiophobia

  • Rating1234
    MeaningStrongly agreeDisagreeAgreeStrongly agree
  • DASS21

  • Please read each statement and select a number 0, 1, 2 or 3 which indicates how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement.

    The rating scale is as follows:

    Rating0123
    MeaningDid not apply
    to me at all
    Applied to me to some degree,
    or some of the time
    Applied to me to a considerable degree,
    or a good part of time
    Applied to me very much,
    or most of the time
  • Pain Self Efficacy Questionnaire

  • Please rate how confident you are that you can do the following things at present, despite the pain.

    To indicate your answer choose one of the numbers on the scale under each item, where 0 = not at all confident and 6 = completely confident.