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Pain Drawing Name: Date: On the drawings below I have marked, using the appropriate symbols shown below, the places on my body where I feel the sensations described.

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How to fill out the Pain Drawing Form online

The Pain Drawing Form is a valuable tool for individuals to communicate the locations and types of pain they experience. This guide provides step-by-step instructions for effectively completing the form online, ensuring clarity and accuracy in documenting your pain.

Follow the steps to accurately complete the Pain Drawing Form.

  1. Press the ‘Get Form’ button to access the Pain Drawing Form and launch it in an online editor.
  2. Fill in your name in the designated field to identify your submission.
  3. Enter the date on which you are completing the form to provide context for your pain documentation.
  4. Utilize the symbols provided to mark the areas on the drawings of your body where you feel various sensations, such as aching, numbness, or burning. Ensure you are thorough in indicating all affected areas.
  5. If your pain radiates from specific areas, you may also mark these locations accordingly to illustrate the spread of your discomfort.
  6. Complete your submission by drawing your face to represent any facial pain or symptoms, adding a personal touch to your documentation.
  7. After completing all sections of the Pain Drawing Form, you can save your changes, download the form, print it, or share it as needed.

Encourage others to document their experiences by completing the Pain Drawing Form online today.

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Introduction. Pain drawings (PDs) are pictorial representations of pain in the form of body diagrams. These diagrams are drawings of the complete human body, front and back, upon which patients draw or shade the locations and qualities of pain sensations by means of symbols, shading, or cross-hatching.

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