Chronic Pain Assessment

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Do you have any ongoing stress situations where you tend to overreact?

When stress is triggered, does it last beyond one day?

Do you notice that you feel stressed upon waking up?

Do you notice any connection between your daily stress level and the physical pain you have?

Do you have a hard time meeting your emotional needs daily, such as safety, affection, or acceptance… etc.?

Do you experience physical stress and pain such as headaches, stomachaches…. etc. when your emotional needs are not met?

Do you feel mentally, emotionally or physically drained after unpleasant and stressful events?

Does daily stress affect the quality of your sleep?

Have you noticed your level of pain or achiness increasing after a stressful event?

Do you tend to get sick easily or have a weak immune system?

Does physical pain prevent you from doing things you enjoy?

If you are human, leave this field blank.