- Use the scale to rate how much pain you feel in both the left and right side of
your body.
Put a number from 0 to 10 in each box on the chart below:
| Pain Area |
Left Side |
Right Side |
| Neck |
|
|
| Shoulder |
|
|
| Chest |
|
|
| Elbow |
|
|
| Hand/Wrist |
|
|
| Hip/Thigh |
|
|
| Knee |
|
|
| Lower leg |
|
|
| Ankle/Foot |
|
|
| Other area |
|
|
| Total |
|
|
- Add the numbers. If the total of the left side and the right side is more than
20, you should get help. Tell your doctor about your pain.