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Check for Chronic Pain Symptoms

Take this brief quiz to see if you have problems related to chronic pain and if treatment like CBT for Chronic Pain may help you.

Use this brief screening tool to see if Cognitive Behavioral Therapy for Chronic Pain may be helpful to you. The questions that follow are about how well you are able to do things in your life despite the pain. If your pain has continued for at least 3 months or beyond the expected healing time, it is considered chronic. Please complete the questionnaire in relation to your chronic pain. Mark the response that best fits you.

About these questions

The questions you will be asked come from the "Pain Self-Efficacy Questionnaire" (Nicholas, 1989). This is a proven tool for screening for problems related to chronic pain. This questionnaire does not provide a diagnosis. Only a health care or mental health care provider can provide a diagnosis.

Source: Nicholas M.K. Self-efficacy and chronic pain. Paper presented at the annual conference at the British Psychological Society. St. Andrews, 1989.

Please rate how confident you are that you can do the following
at present, despite the pain.

I can enjoy things, despite the pain.

Please rate how confident you are that you can do the following
at present, despite the pain.

I can do most of the household chores (e.g., tidying-up, washing dishes, etc.), despite the pain.

Please rate how confident you are that you can do the following
at present, despite the pain.

I can socialize with my friends or family members as often as I used to do, despite the pain.

Please rate how confident you are that you can do the following
at present, despite the pain.

I can cope with my pain in most situations.

Please rate how confident you are that you can do the following
at present, despite the pain.

I can do some form of work, despite the pain ("work" includes housework, paid and unpaid work).

Please rate how confident you are that you can do the following
at present, despite the pain.

I can still do many of the things I enjoy doing, such as hobbies or leisure activity, despite the pain.

Please rate how confident you are that you can do the following
at present, despite the pain.

I can cope with pain without medication.

Please rate how confident you are that you can do the following
at present, despite the pain.

I can still accomplish most of my goals in life, despite the pain.

Please rate how confident you are that you can do the following
at present, despite the pain.

I can live normal lifestyle, despite the pain.

Please rate how confident you are that you can do the following
at present, despite the pain.

I can gradually become more active, despite the pain.

Summary of Your Results

Your responses indicate that you generally feel confident in being able to carry out activities in your life despite your pain. You may not feel the need for treatment at this time. However, you still may wish to learn more about treatment designed to improve coping with chronic pain, like Cognitive Behavioral Therapy for Chronic Pain. To learn about other resources, or about resources for different mental and behavioral health conditions, visit the Additional Resources section of this website.

Your responses indicate that you generally feel confident in being able to carry out activities in your life despite your pain, though there are some areas where you may feel less confident in doing so. If you find that problems related to your pain affect how well you function at home, work, or school, you may benefit from treatment like Cognitive Behavioral Therapy for Chronic Pain. Learn more about treatment designed to improve coping with chronic pain, like Cognitive Behavioral Therapy for Chronic Pain. To learn about other resources, or about resources for different mental and behavioral health conditions, visit the Additional Resources section of this website.

Your answers indicate that you have limited confidence in being able to do some activities given your pain. Your responses suggest that treatment designed to help you cope with and gain control over your pain, like Cognitive Behavioral Therapy for Chronic Pain, may be helpful to you. Learn more about CBT for Chronic Pain, which has helped many people, including Vets. To find treatment or learn more about your options, visit the Find Treatment section of this website, or visit your health care provider. To learn about other resources, or about resources for different mental and behavioral health conditions, visit the Additional Resources section of this website.

Your answers indicate that you have little confidence in your ability to do a variety of activities given your pain. Your responses suggest that treatment designed to help you cope with and gain control over your pain, like Cognitive Behavioral Therapy for Chronic Pain, may be helpful to you. You may also wish to discuss with your health care provider additional treatment options for pain management as part of a comprehensive treatment approach. Learn more about treatment designed to improve coping with chronic pain, like Cognitive Behavioral Therapy for Chronic Pain. To find treatment or learn more about your options, visit the Find Treatment section of this website, or visit your health care provider. To learn about other resources, or about resources for different mental and behavioral health conditions, visit the Additional Resources section of this website.

If you are in crisis or are in need of immediate help:

If you feel at any time that you might be in danger of harming yourself or someone else or you would like to speak with someone immediately, please know that there are people who care and ready to help right away. There are several options for support right now:

  1. Call the Veterans and Military Crisis Line at 988 and Press 1.
  2. Text the Veterans and Military Crisis Line at 838255.
  3. Chat confidentially online with a Veterans and Military Crisis Line counselor.
  4. Call 911 or go to the nearest hospital emergency room.
Next: Find Treatment

Your privacy is very important. No information that you provide will be kept or stored.

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Questions or problems? Contact Rocky Mountain MIRECC.

 

Contact Information

Colorado

Rocky Mountain Regional VAMC (RMR VAMC)
1700 N Wheeling St, BLDG A2
Aurora, CO 80045
303-399-8020
RockyMountainMIRECC@va.gov

Utah

VA Salt Lake City Health Care System
500 Foothill DR
Salt Lake City, UT 84148
801-582-1565 ext 2835

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