| | | | | | | | | | IF @/Are you currently receiving = Yes [HePaj = 1]
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| | | | | | | | | | | HEPAK3
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| | | | | | | | | | | How well does the treatment control your pain?
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| | | | | | | | | | | INTERVIEWER: Read out...
| | | | | | | | | | | 1 Very well
| | | | | | | | | | | 2 Fairly well
| | | | | | | | | | | 3 Not very well
| | | | | | | | | | | 4 Not at all
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| | | | | | | | | | END OF FILTER
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| | | | | | | | | END OF FILTER
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| | | | | | | | END OF FILTER
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| | | | | | | END OF FILTER
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| | | | | | END OF FILTER
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| | | | | | HEPAWH
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| | | | | | SHOW CARD C11
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| | | | | | In which parts of the body do you feel pain?
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| | | | | | CODE ALL THAT APPLY.
| | | | | | 1 Back
| | | | | | 2 Hips
| | | | | | 3 Knees
| | | | | | 4 Feet
| | | | | | 5 Mouth/teeth
| | | | | | 6 Other
| | | | | | 7 All over
| | | | | | [code maximum 7 out of 7 possible responses]
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| | | | | | IF ((((Back = HePaWh) OR (Hips = HePaWh)) OR (Knees =
| | | | | | HePaWh)) OR (Feet = HePaWh)) OR (All = HePaWh) [Back = HePaWh
| | | | | | OR 2 = HePaWh OR 3 = HePaWh OR 4 = HePaWh OR 7 =
| | | | | | HePaWh]
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| | | | | | | HEPAB
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| | | | | | | How would you rate your pain if you were walking on a flat surface?
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| | | | | | | Please rate your pain from 0-10 for each of the following where 0 is no
| | | | | | | pain and 10 is severe or excruciating pain,
| | | | | | | as bad as you can imagine.
| | | | | | | 1 Press 1 and enter to continue
| | | | | | | 2 Can't walk or never walks
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