Bath Questionnaire Test Page

Bath Questionnaire Test Page

This questionnaire asks you about different ways in which pain affects your/your child's life. There are no right or wrong answers, but please try to be as accurate as you can. Please read each question carefully. Do not spend too much time on any one question. It is very important that you answer all the questions.
Who is filling in this form? *
There are many possible ways that pain can affect the lives of young people. Below are some statements that may or may not apply to you/your child. Please read each statement and put a number between 0-4 relating to the word that describes how often you/your child has experienced each of these things in the LAST TWO WEEKS. Please make sure that you answer all questions.
Key: 0= Never 1= Hardly ever 2= Sometimes 3= Often 4= Always

Alder Hey Children's Charity
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