| # | Question Content | N | L0 | L1 | L2 | L3 | L4 | L5 | L6 | L7 | L8 | L9 | L10 | Num | Den | Rate | Low | High |
| Patient Pain Assessment |
| 2 | How much pain are you having right now? | 70 | 3 | 5 | 10 | 15 | 10 | 14 | 5 | 3 | 3 | 1 | 1 | 496 | 770 | 64.4% | 61.0% | 67.8% |
| 100% | 4.3% | 7.1% | 14.3% | 21.4% | 14.3% | 20.0% | 7.1% | 4.3% | 4.3% | 1.4% | 1.4% | | | | | |
| 3 | Please indicate the worst pain you have had in the past 24
hours? | 70 | 1 | 1 | 4 | 6 | 2 | 12 | 13 | 7 | 13 | 6 | 5 | 340 | 770 | 44.2% | 40.6% | 47.7% |
| 100% | 1.4% | 1.4% | 5.7% | 8.6% | 2.9% | 17.1% | 18.6% | 10.0% | 18.6% | 8.6% | 7.1% | | | | | |
| 4 | Please indicate the average level of pain you have had in the past 24
hours. | 70 | 2 | 5 | 7 | 8 | 11 | 13 | 12 | 4 | 4 | 3 | 1 | 449 | 770 | 58.3% | 54.8% | 61.8% |
| 100% | 2.9% | 7.1% | 10.0% | 11.4% | 15.7% | 18.6% | 17.1% | 5.7% | 5.7% | 4.3% | 1.4% | | | | | |
| Has Pain Affected Patient Activity in the Past 24 Hours |
| 5A | During the past 24 hours, pain has interfered with
your general activities. | 70 | 10 | 2 | 6 | 10 | 5 | 9 | 8 | 4 | 8 | 3 | 5 | 444 | 770 | 57.7% | 54.2% | 61.2% |
| 100% | 14.3% | 2.9% | 8.6% | 14.3% | 7.1% | 12.9% | 11.4% | 5.7% | 11.4% | 4.3% | 7.1% | | | | | |
| 5B | During the past 24 hours, pain has interfered with your
mood? | 70 | 19 | 3 | 6 | 5 | 7 | 8 | 6 | 5 | 6 | 2 | 3 | 505 | 770 | 65.6% | 62.2% | 68.9% |
| 100% | 27.1% | 4.3% | 8.6% | 7.1% | 10.0% | 11.4% | 8.6% | 7.1% | 8.6% | 2.9% | 4.3% | | | | | |
| 5C | During the past 24 hours, pain has interfered with your
walking ability? | 70 | 15 | 4 | 7 | 6 | 4 | 6 | 7 | 2 | 8 | 3 | 8 | 461 | 770 | 59.9% | 56.4% | 63.3% |
| 100% | 21.4% | 5.7% | 10.0% | 8.6% | 5.7% | 8.6% | 10.0% | 2.9% | 11.4% | 4.3% | 11.4% | | | | | |
| 5D | During the past 24 hours, pain has interfered
with your relations with the others? | 70 | 24 | 8 | 7 | 3 | 6 | 13 | 1 | 2 | 3 | 0 | 3 | 576 | 770 | 74.8% | 71.7% | 77.9% |
| 100% | 34.3% | 11.4% | 10.0% | 4.3% | 8.6% | 18.6% | 1.4% | 2.9% | 4.3% | 0.0% | 4.3% | | | | | |
| 5E | During the past 24 hours, pain has interfered with your
general sleep? | 70 | 12 | 2 | 8 | 4 | 6 | 13 | 5 | 8 | 5 | 0 | 7 | 455 | 770 | 59.1% | 55.6% | 62.6% |
| 100% | 17.1% | 2.9% | 11.4% | 5.7% | 8.6% | 18.6% | 7.1% | 11.4% | 7.1% | 0.0% | 10.0% | | | | | |
| 5F | During the past 24 hours, pain has
interfered with your other activities that are needed to recover from illness? | 56 | 10 | 2 | 3 | 6 | 5 | 12 | 4 | 3 | 3 | 2 | 6 | 363 | 616 | 58.9% | 55.0% | 62.8% |
| 100% | 17.9% | 3.6% | 5.4% | 10.7% | 8.9% | 21.4% | 7.1% | 5.4% | 5.4% | 3.6% | 10.7% | | | | | |
| Patient Satisfaction with Pain Management |
| 6 | Select the phrase that indicates how
satisfied or dissatisfied you are with the result of your pain treatment overall. | 70 | | 2 | 3 | 1 | 10 | 48 | 3 | | | | | 309 | 402 | 76.9% | 72.7% | 81.0% |
| | | 100% | | 3.0% | 4.5% | 1.5% | 14.9% | 71.6% | 4.5% | | | | | | | | | |
| 7 | Select the
phrase that indicates how satisfied or dissatisfied you are with the way your nurses
responsed to your report of pain. | 70 | | 1 | 1 | 2 | 4 | 48 | 12 | | | | | 337 | 408 | 82.6% | 78.9% | 86.3% |
| | | 100% | | 1.5% | 1.5% | 2.9% | 5.9% | 70.6% | 17.6% | | | | | | | | | |
| 8 | Select the phrase
that indicates how satisfied or dissatisfied you are with the way your physicians responsed to your report of pain. | 70 | | 1 | 0 | 5 | 3 | 43 | 16 | | | | | 339 | 408 | 83.1% | 79.5% | 86.7% |
| | | 100% | | 1.5% | 0.0% | 7.4% | 4.4% | 63.2% | 23.5% | | | | | | | | | |