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Sensation Domain - NIH Toolbox

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Adults, short form measure:<br />

How much did pain interfere with…<br />

► your day-to-day activities?<br />

► work around the home?<br />

► your ability to participate in social activities?<br />

► your household chores?<br />

► the things you usually do for fun?<br />

► your enjoyment of social activities?<br />

…………………………………………………………………………………………………………………….<br />

Each item is scored as: 1 –“not at all”, 2 –“a little bit”,<br />

3 –“somewhat”, 4 –“quite a bit”, 5 –“very much”

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