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Appendix IV (i) SHORT FORM McGill PAIN QUESTIONNAIRE and PAIN DIAGRAM (Reproduced with permission of author Dr. Ron Black, for publication and distribution) Date: Name: Check the column to indicate.

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This guide provides clear instructions on how to effectively complete the Amazon online form, ensuring that you can accurately convey your pain levels using the McGill Pain Questionnaire. Whether you are a first-time user or familiar with similar forms, this guide will assist you every step of the way.

Follow the steps to fill out the form accurately and efficiently.

  1. Press the ‘Get Form’ button to access the form and open it for editing.
  2. Begin by entering the date at the designated line to document when you are filling out the form.
  3. Write your name on the indicated line to identify yourself as the respondent.
  4. For each of the pain descriptors listed, mark the appropriate level of pain you are experiencing by checking the corresponding box under ‘Mild’, ‘Moderate’, or ‘Severe’. If a descriptor does not apply, leave it blank.
  5. Once you have filled out your pain levels, indicate the overall intensity of your pain on the provided visual analog scale (VAS) by placing a mark on the line, with the left end representing no pain and the right end indicating the worst possible pain.
  6. After completing the form, review your entries for accuracy. Once satisfied, save your changes and consider downloading, printing, or sharing the form as needed.

Start filling out your form online today to effectively communicate your pain levels.

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