Chronic pain except headache (last 6 months)

Do you suffer from recurrent pain in general (excluding headache) for more than 6 months?

x0pn00

Back pain

Do you suffer from back pain?

x0pn01

Back pain since (years)

Since when is the back pain present? (years)

x0pn02

Frequency (days/year)

Back pain frequency in days/year

x0pn03

Back pain: Intensity

Intensity of the pain

x0pn04

Back pain: Localisation (lumbar)

Localisation of the pain: Lumbar

x0pn05a

Back pain: Localisation (thoracic)

Localisation of the pain: Thoracic

x0pn05b

Back pain: Localisation (cervical)

Localisation of the pain: Cervical

x0pn05c

Back pain: Radiate into the leg

Does the pain radiate into the leg or into the arm? Leg

x0pn06a

Back pain: Radiate into the arm

Does the pain radiate into the leg or into the arm? Arm

x0pn06b

Joint pain

Do you suffer from joint pain?

x0pn11

Joint pain since (years)

Since when is the joint pain present? (years)

x0pn12

Frequency (days/year)

Frequency in days/month or days/year (days/year)

x0pn13

Joint pain: Intensity

How strong is the joint pain?

x0pn14

Joint pain (localisation/free text)

Which joints are affected?

x0pn15

Joint pain localisation: arm(s)

Joint pain localisation: arm(s)

x0pn15a

Joint pain localisation: shoulder(s)

Joint pain localisation: shoulder(s)

x0pn15b

Joint pain localisation: foot/feet

Joint pain localisation: foot/feet

x0pn15c

Joint pain localisation: hand(s)

Joint pain localisation: hand(s)

x0pn15d

Joint pain localisation: leg(s)

Joint pain localisation: leg(s)

x0pn15e

Joint pain localisation: hip(s)

Joint pain localisation: hip(s)

x0pn15f

Joint pain localisation: neck

Joint pain localisation: neck

x0pn15g

Joint pain localisation: other

Joint pain localisation: other

x0pn15h

Other pain

Do you suffer from other pain (e.g. abdominal pain, menstrual cramps, toothache)?

x0pn21

Other pain since (years)

Since when is this pain present? (years)

x0pn22

Frequency (days/year)

Frequency in days/month or days/year (days/year)

x0pn23

Other pain: Intensity

Intensity of the pain

x0pn24

Other pain: Description/localisation (free text)

Description/localisation

x0pn25

Principal pain (free text)

Which is the main pain?

x0pn30

Impairment of daily life caused by pain

How big is the impairment of daily life caused by the pain(s)?

x0pn31

Pain notes (back pain)

Pain notes (back pain)

x0pnn1

Pain notes (joint pain)

Pain notes (joint pain)

x0pnn2

Pain notes (other pains)

Pain notes (other pains)

x0pnn3

Pain notes (main pain)

Pain notes (main pain)

x0pnn4

Pain notes

Pain notes

x0pnnote

Pain version

Pain version

x0pnver