Chronic Pain Assessment

1. Do you experience chronic pain or a chronic illness/disability that substantially decreases your ability to function?(Required)
2. How often do you experience pain?(Required)
3. What triggers/intensifies your pain? (Select all that apply)(Required)
4. How do you cope with your pain?(Required)
5. How do you cope with stress and/or difficult emotions?(Required)
6. Does your chronic pain or chronic illness/disability make you feel isolated?(Required)
7. Do your friends and family give you unhelpful advice such as “If you just got out of the house more, you’d feel better.”?(Required)
8. Do you feel heard and understood by your medical team?(Required)
9. Are you looking for a therapist that has personal and professional experience with the emotional weight of chronic pain and/or disability?(Required)