Pain Questionnaire Pain QuestionnaireDo you believe there is pain?YesNoIf 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?YesNoComments:Is there something about the body position that indicates pain?YesNoComments:Have you noticed any behavioral changes? (i.e., grumpy, aggressive, depression).YesNoComments: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?YesNoComments: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?YesNoHave you noticed any changes in running and jumping?YesNoComments:Have you noticed changes in the hair coat or grooming behavior?YesNoComments:Any back pain, disc disease, arthritis, or any other painful disease diagnosed in the past?YesNoDescribe:Comments:
