Take the Pain Test Take the Pain TestStart the Pain Testpress Enter Name * Name First First Last Last Email * Phone Have you had ongoing pain, or pain that comes and goes, for more than 6 weeks? * Yes NoDoes exercising or moving sometimes or always reduce your pain, by any amount? * Yes NoHave you been told surgery won’t help, or isn’t sure to help? Or that you have a problem originating in your nerves, muscles, or tendons? * Yes NoDid you start with pain in one place, but now you have pain in two or more places? * Yes NoDo you, or does anyone else in your close family, display intense fixation and fear about current and/or future pain, or difficult emotional circumstances? * Yes NoDoes the intensity and/or location of your pain change – throughout the day, week, or month? * Always/Almost Always Sometimes NeverDoes your pain intensity change when you’re in a new emotional or physical environment, or when you’re distracted? Examples are a fun dinner with friends; or you (or your boss) being on vacation. * Always/Almost Always Sometimes NeverCan you identify things that trigger your pain to come back or get worse – like the weather, stress, certain movements, locations, or activities? * Always/Almost Always Sometimes NeverDo you have a history of any of these? (please chose all that apply) * sensitivity to light, sounds, and/or smells tinnitus gastrointestinal issues or IBS bladder urgency nausea, stomach pain, and/or reflux food sensitivities tension or migraine headaches hives or eczema itchiness and/or environmental allergies recurring joint area, pelvic, shoulder, and/or back pain intense fatigue OtherOther none of the aboveTake an honest look at yourself and report if you exhibit any of the following traits: * perfectionism impossibly high standards for yourself a tendency to negative self talk a desire to make everyone around you happy a tendency to avoid taking care of yourself and your needs constantly overscheduled/overwhelmed a need to control people and situations around you slight compulsive tendencies sensitive to criticism that you aren’t good enough or doing enough none of the above ContinueSubmit Use Shift+Tab to go back