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CPAQ Questionnaire

 

The following list of statements relate to experiences of pain.

Please rate the truth of each statement as it applies to you.

Use the provided rating scale to make your choices.

  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • 0
    Never
    true
    1
    Very rarely true
    2
    Seldom
    true
    3
    Sometimes
    true
    4
    Often
    true
    5
    Almost always true
    6
    Always
    true
  • This field is for validation purposes and should be left unchanged.