Loading
Get Dn4 Questionnaire
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Dn4 Questionnaire online
The Dn4 Questionnaire is a crucial tool used to assess the probability of neuropathic pain. This guide aims to provide clear, step-by-step instructions for successfully completing the questionnaire online.
Follow the steps to complete the Dn4 Questionnaire online.
- Press the ‘Get Form’ button to access the Dn4 Questionnaire and open it in your preferred editor.
- Begin with Question 1, which asks whether the pain has one or more specific characteristics: burning, painful cold, or electric shocks. Indicate your answers by selecting 'Yes' or 'No' for each option.
- Proceed to Question 2 and check if the pain is associated with symptoms such as tingling, pins and needles, numbness, or itching in the same area. Again, select 'Yes' or 'No' for each symptom.
- Move to Question 3, which inquires if the pain is located in areas where a physical examination may reveal characteristics like hypoesthesia to touch or pinprick. Mark your answers accordingly.
- Finally, answer Question 4 to determine if brushing can cause or increase the pain in the painful area. This question is structured so that a 'Yes' response earns 1 point and a 'No' earns 0 points.
- After answering all questions, calculate the total score based on the points you indicated. The maximum score is /10.
- Once you have completed the questionnaire, ensure that you save your changes. You can then download, print, or share the form as needed.
Start completing your Dn4 Questionnaire online today.
painDETECT is a nine-item questionnaire that consists of seven sensory symptom items for pain that are graded from 0= never to 5= strongly, one temporal item on pain-course pattern graded −1 to +1, and one spatial item on pain radiation graded 0 for no radiation or +2 for radiating pain.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.