Chronic Pain Relief Assessment Tool

Step 1: Effectiveness Check

1. My pain levels decrease significantly after using this strategy: 2. This strategy reduces the frequency of pain episodes: 3. I feel more in control of my pain when I use this approach: 4. My ability to handle pain-related stress has improved with this strategy: 5. This strategy provides consistent results over time:

Step 2: Impact on Daily Life

1. Does this strategy enable me to complete my daily tasks with less difficulty? 2. Does it allow me to engage in work, hobbies, or social activities? 3. Does it improve my energy levels or reduce fatigue? 4. Does it support my emotional well-being? 5. Does it help me maintain independence?

Step 3: Alignment with Current Goals

1. Does this strategy help me achieve short-term goals (e.g., pain relief for specific activities)? 2. Is this strategy contributing to my long-term goals (e.g., improving quality of life)?

Step 4: Psychological and Emotional Well-Being

1. This strategy helps me feel calm and in control during pain episodes: 2. It reduces my fear of flare-ups or uncertainty about my condition: