S1

Pain or Discomfort
During the past 4 weeks, how much have you been bothered by stomach pain?
□ Bothered a lot
□ Bothered a little
□ Not bothered at all

Next General Symptoms - This General Symptoms question is 1 of 15.

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)