Pain Measure Questionnaire of the American Pain Society (APS)
1. Have you experienced any pain in the last 24 h? (yes or no)
2. How much pain are you having right now? (0–10)
3. Indicate the worst pain you have had in the past 24 h. (0–10)
4. Indicate the average level of pain you have had in the past 24 h. (0–10)
5. Indicate how pain has interfered with you in: (7 daily activities; each scored 0–10)