Medical Outcomes Study Pain Measures – MOS-PM

How much bodily pain have you generally had during the past 4 weeks? (1 = None, 2 = Very mild, 3 = Mild, 4 = Moderate, 5 = Severe/Very severe)

During the past 4 weeks, how often have you had pain or discomfort? (1 = Once or twice, 2 = A few times, 3 = Fairly often, 4 = Very often, 5 = Every day or almost every day)

When you had pain during the past 4 weeks, how long did it usually last? (1 = A few minutes, 2 = Several minutes to an hour, 3 = Several hours, 4 = A day or two, 5 = More than two days)

During the past 4 weeks, how much did pain interfere with your mood?

During the past 4 weeks, how much did pain interfere with your ability to walk or move about?

During the past 4 weeks, how much did pain interfere with your sleep?

During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?

During the past 4 weeks, how much did pain interfere with your recreational activities?

During the past 4 weeks, how much did pain interfere with your enjoyment of life?

During the past 4 weeks, how many days did pain interfere with the things you usually do? (Write in number of days from 0 to 28)

Please rate your pain on the average over the past 4 weeks (0 = No Pain to 20 = Pain As Bad As You Can Imagine)

Please rate your pain at its worst over the past 4 weeks (0 = No Pain to 20 = Pain As Bad As You Can Imagine)