Patient Activity Scale-II (PAS-II)
Patient Activity Scale-II (PAS-II)
Patient Activity Scale-II (PAS-II)
Without Any
Difficulty
(0)
With Some
Difficulty
(1)
With Much
Difficulty
(2)
Unable
To Do
(3)
We are also interested in learning whether or not you are affected by pain because of your illness.
How much pain have you had because of your illness in the past week? Place an X in the box that best describes the severity of
your pain on a scale of 0-10.
10
NO PAIN
SEVERE PAIN
Considering ALL THE WAYS THAT YOUR ILLNESS AFFECTS YOU, RATE HOW YOU ARE DOING on the following scale. Place an X
in the box below that best describes how you are doing on a scale of 0-10.
VERY
WELL
10
VERY
POOR
Draft