Pain Diary
Document pain intensity, location, and quality using validated scales. Captures pain episodes throughout the day, medication use, and functional impact. Ideal for chronic pain studies and analgesic trials.
About This Template
Pain is complex and subjective, making it challenging to measure objectively. This Pain Diary provides a structured way for participants to report their pain experiences with clinically meaningful data.
The diary uses numeric rating scales for pain intensity, body diagrams for location mapping, and descriptive words for pain quality (burning, stabbing, aching). Participants also track timing of pain episodes, triggering factors, relief strategies attempted, and functional limitations caused by pain.
This template is built around established pain assessment frameworks used in clinical trials. It captures both acute pain episodes and chronic baseline pain levels, enabling researchers to track patterns over time and evaluate intervention effectiveness.
The format supports daily completion for high-frequency tracking or scheduled assessments for longitudinal monitoring. All questions follow formats that facilitate aggregation and statistical analysis across participants.
Common Use Cases
This template is commonly used in the following types of research
- Chronic pain management trials
- Analgesic drug studies
- Post-surgical pain monitoring
- Arthritis symptom tracking
- Headache and migraine research
Questions in This Template
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✓ Ready-to-use questionnaire
✓ Validated response formats
✓ Customizable for your study
✓ HIPAA-compliant data collection
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