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Promis Pain Interference (Cat)

PROMIS Pain Interference (CAT)

Form

PROMIS Pain Interference (CAT)
Form

Outstanding Tasks0

Complete Tasks Below
Click on the items below to complete.

Promis Pain Interference (Cat)

PROMIS Pain Interference (CAT)

Form

PROMIS Pain Interference (CAT)
Form

PROMIS Pain Interference (CAT)


Please select your pain below.

How much did pain interfere with your day to day activities?*

How much did pain interfere with work around the home?*

How much did pain interfere with your ability to participate in social activities?*

How much did pain interfere with your household chores?*

Not at all
A little bit
Somewhat
Quite a bit
Very much
How much did pain interfere with your day to day activities?
How much did pain interfere with work around the home?
How much did pain interfere with your ability to participate in social activities?
How much did pain interfere with your household chores?
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