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Revision as of 10:41, 9 June 2015

Pain or Discomfort
During the past 4 weeks, how much have you been bothered by pain in your arms, legs, or joints (knees, hips, etc.)?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all

Next General Symptoms Previous - This General Symptoms question is 3 of 15.

Branching

Scoring

□ Bothered a lot = 2
□ Bother a little = 1
□ Not bothered at all = 0
See General Symptoms for total scoring

Background

Symptom Assessment
Well-Being Assessment (WBA)
CDC Health Risk Assessment (HRA)