Brief Pain Inventory - bRCIPSb 2025

1. Click ‘Get Form’ to open the Brief Pain Inventory - bRCIPSb in the editor.
2. Begin by entering your personal information at the top of the form, including your name, date of birth, and contact details.
3. Proceed to indicate your marital status and education level by circling the appropriate options provided.
4. Fill in your current occupation and that of your spouse, if applicable. If you are not currently employed, specify your previous occupation.
5. Answer questions regarding your diagnosis and pain history. Be sure to provide detailed responses where prompted, especially about the nature of your pain.
6. Use the diagram provided to shade areas where you feel pain and mark the most painful spot with an 'X'.
7. Rate your pain levels on a scale from 0 to 10 for various time frames as instructed in the form.
8. Complete sections regarding treatments, medications, and their effectiveness by circling or checking appropriate responses.
9. Finally, review all entries for accuracy before signing at the bottom of the questionnaire.

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