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Location of worst pain today
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Pain severity at this moment
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Pain severity at its best
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Pain severity at its worst
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Draw with your finger or mouse where your pain is.
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Pain Character
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Does the pain radiate?
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Are there any associated symptoms?
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How long have you had the pain?
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Time course of the pain
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Did the pain begin with an injury?
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Details of injury
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What makes the pain better?
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What makes the pain worse?
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Previous treatments
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