Pain Scales and Tools for your pain treatment

Pain patients often have difficulty expressing their symptoms and the intensity of their individual pain. To enhance communication between caregivers and sufferers the P.A.I.N. Initiative has complied the following tools for free download:


Body diagram

Locate and document your pain with the body diagram.

Body Diagram Download Body Diagrams (186KB)

Patient diary

Recording pain is a great medical challenge. Keeping a pain and medication diary enhances communication with caregivers, encourages keeping to the medication dosage schedule, and documents progress. Diary use by patients is recommended.

Diary Download Patient Diary (489KB)

Pains scales

Pain scales are useful for eliciting responses from patients about their comfort or discomfort, for enhancing clarity in communications, and for supporting an individualized pain management programme. Here a choice of scales is presented for use when talking with your patients

VAS Download VAS (87KB)

Combined pain scale

This pain scale combines a visual analogue scale and a numeric rating scale. Patients mark the intensity of their pain on the visual analogue scale by moving the slider between the limits of "no pain" and "severest imaginable pain" on the red triangle. Then flip the scale to the numeric rating side and read off the intensity of the pain. The numeric rating scale rates the pain intensity with a continuous scale ranging from 0 to 100. The value 0 is equivalent to "no pain" and the value 100 the "severest imaginable pain"

Smiley scale

The "Smiley scale" shows various faces from a laughing face, which can be assigned to the state of "no pain", to a crying face, which corresponds to the situation of "severe or very severe pain". This scale is so comprehensible that you can also use it for children and people who cannot express themselves adequately.

Smiley Download Smiley Scale (93KB)

COOP/WONCA Charts

This questionnaire has been developed especially for family practitioners. With the COOP/WONCA charts you can document the physiological and psychological function of your patients.

The COOP/WONCA charts measure six core aspects of functional status: Physical fitness, feelings, daily activities, social activities, change in health and overall health.

The instrument consists of six charts, referring to the mentioned aspects of functioning. Each aspect consists of a simple title, a question of the status of the patient and an easy five-point response scale illustrated with a simple drawing.

WONCA Download COOP/WONCA Charts (49KB)