This tool helps screen for chronic nociceptive pain. Answer the questions below by selecting the response that best describes your experience. Note: A person living with chronic pain can have mixed mechanisms of chronic pain (nociceptive, neuropathic, or nociplastic). Chronic pain is the pain that persists beyond 3 months (12 weeks).

1. My pain is localized to a specific area of my body.

0 = Not at all 1 = Rarely 2 = Occasionally 3 = For most pain epiodes 4 = All the time

2. The pain feels sharp, aching, or throbbing.

0 = Not at all 1 = Rarely 2 = Occasionally 3 = Most of the time 4 = All the time

3. The pain worsens with movement or pressure on the affected area.

0 = Not at all 1 = Rarey 2 = Occasionally 3 = Most of the time 4 = All the time

4. The pain intensity decreases with rest or reduced activity.

0 = Not at all 1 = Rarely 2 = Occasionally 3 = Most of the time 4 = All the time

5. I have been diagnosed with an injury or condition affecting my muscles, bones, joints, or ligaments.

0 = No 1 = Work up started 2 = Strong suspicion 3 = Probable diagnosis made 4 = Diagnosis confirmed

6. I experience swelling, redness, or tenderness in the area of pain.

0 = Not at all 1 = Rarely 2 = Occasionally 3 = Most of the time 4 = All the time

7. Imaging (e.g., X-ray, MRI) and laboratory tests have confirmed tissue damage or inflammation in the painful area.

0 = No 1 = Test results do not correlate with clinical work up 2 = Conflicting results with some results confirming clinical findings. 3 = Conflicting results with strong clinical correlation with some confirmatory tests. 4 = Yes, definite clinical and imaging/laboratory tests agreement

8. The pain started after a clear injury or physical stressor (e.g., accident, overuse) or infection or inflammatory disease.

0 = No 1 = Highly unlikely 2 = Possibly 3 = Highly likely 4 = Yes

9. My pain significantly improves with over-the-counter pain medications (e.g., ibuprofen, acetaminophen/paracetamol).

0 = No 1 = Rarely 2 = Sometimes 3 = Most of the time 4 = Yes, all the time

10. My pain improves with prescription medications targeting inflammation (e.g., prescription non-steroidal anti-inflammatory drugs, corticosteroids).

0 = No 1 = Rarely 2 = Sometimes 3 = Most of the time 4 = Yes, all the time

11. Topical treatments (e.g., heat, ice, analgesic creams) effectively reduce my pain.

0 = No 1 = Rarely 2 = Sometimes 3 = Most of the time 4 = Yes, all the time

12. I avoid certain activities, postures, sleeping positions, or movements to prevent aggravating the pain.

0 = No 1 = Rarely 2 = Occasionally 3 = Most of the time 4 = All the time

Disclaimer: This tool is for guidance only and not a substitute for professional medical advice.