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Health Quiz
Quiz: Is Pain Interfering With Your Life?
Assess the impact of chronic pain.
Has your pain lasted three months or longer?
Yes
No
Does pain cause you to feel depressed, anxious, angry, or fatigued?
Yes
No
Sometimes
Does being in pain hurt your relationships with family and friends?
Yes
No
Sometimes
Do you limit your activities because of pain?
Yes
No
Sometimes
Does pain affect your appetite?
Yes
No
Sometimes
Does pain keep you awake at night?
Yes
No
Sometimes
Do you use alcohol to cope with pain or sleeplessness?
Yes
No
Sometimes
Have you discussed your pain with your doctor?
Yes
No
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