Pain Questionnaire Pain QuestionnaireDo you believe there is pain? Yes No If yes, how would you rate the pain with 1 being the least and 10 being the highest level of pain?What part of the body do you think is painful?Are there vocalizations that indicate pain? Yes No Comments:Is there something about the body position that indicates pain? Yes No Comments:Have you noticed any behavioral changes? (i.e., grumpy, aggressive, depression). Yes No Comments:How many hours a day does your pet sleep?How many hours a day does your pet “lay around” in a resting position?Is your pet restless at night? Yes No Comments:How would you rate your pet’s activity level on a scale of 1 to 10 with 1 being the lowest and 10 being extremely active?Comments:Have you noticed any stiffness in the morning when your pet rises? Yes No Have you noticed any changes in running and jumping? Yes No Comments:Have you noticed changes in the hair coat or grooming behavior? Yes No Comments:Any back pain, disc disease, arthritis, or any other painful disease diagnosed in the past? Yes No Describe:Comments:
