General questions to ask
- How would you rate the severity of your pain out of 10?
- Were the symptoms persistent or episodic?
- How often would they occur ?
- How did it affect what you could normally do?
- How did it affect your mobility or independence?
- Did the symptoms affect your sleep?
Specific questions on functional impairment
Did it affect
- your household chores?
- how you could look after yourself?
- where you could go?
- your work?
- your sex-life?
Continue on to more specific enquiries to quantify severity based on organ system involved