Use the following scale to assess your commitment and readiness to cope with pain.
| Place a number from 0 to 10 from the following scale for each item below, with 0 being "not at all" and 10 as "all the time." |
| | I move around, engage in activities and exercise to keep physically fit. |
| | I move my body so I will not be afraid of pain and/or re-injury. |
| | I follow the instructions for any pain medication I take. |
| | I follow a healthy diet so I can keep my weight at a good level. |
| | I take time out each day for self-relaxation so I can decrease my stress. |
| | I spend time with family and friends even when I might be in pain. |
| | I try not to worry about things I can’t control. |
| | I schedule meaningful activities on a regular basis. |
| | I find ways of challenging any fears that I have about my pain. |
| | I express my feelings rather than bottling them up. |
| | Total |
There are 100 possible total points.
80 - 100 = great job
60 - 79 = you are working hard and headed in the right direction
50 - 59 = you are really ready to increase your self-management strategies
Below 50 = you have room for improvement, but progress is near with more effort |