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Short Form of the FEAR OF PAIN QUESTIONNAIRE
Instructions:
The items listed below describe painful experiences. Please look at each item and think about how FEARFUL you are of experiencing the PAIN associated with each item. If you have never experienced the PAIN of a particular item, please answer on the basis of how FEARFUL you expect you would be if you had such an experience. Click on the option for each item below to rate your FEAR OF PAIN in relation to each event.
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Indicates required field
Name (First, Last)
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First
Last
Email
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List the Race or Event you are filling out this survey for.
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Primary Sport
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Running
Swimming
Biking
Triathalon
Other
If other sport, list below
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I FEAR the PAIN associated with:
For each of the following experiences rate your FEAR if it happened to you, from No FEAR at all to Extreme FEAR.
Breaking your arm.
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Not At All
A Little
A Fair Amount
Very Much
Extreme
Having a foot doctor remove a wart from your foot with a sharp instrument.
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Not At All
A Little
A Fair Amount
Very Much
Extreme
Getting a paper cut on your finger
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Not At All
A Little
A Fair Amount
Very Much
Extreme
Receiving an injection in your mouth.
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Not At All
A Little
A Fair Amount
Very Much
Extreme
Getting strong soap in both your eyes while bathing or showering.
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Not At All
A Little
A Fair Amount
Very Much
Extreme
Having someone slam a heavy car door on your hand.
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Not At All
A Little
A Fair Amount
Very Much
Extreme
Gulping a hot drink before it has cooled.
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Not At All
A Little
A Fair Amount
Very Much
Extreme
Receiving an injection in your hip/buttocks.
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Not At All
A Little
A Fair Amount
Very Much
Extreme
Falling down a flight of concrete stairs.
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Not At All
A Little
A Fair Amount
Very Much
Extreme
Submit
Home Page: Florida Ultra Running Research
Abstracts
Current Research
About
Contact
Surveys Home Page