FEAR OF PAIN

Florida Ultra-Running Research:

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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.

* Indicates required field

Name (First, Last) *

First

Last

Email *

List the Race or Event you are filling out this survey for. *

Primary Sport *

Running Swimming Biking Triathalon Other

If other sport, list below *

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. *

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. *

Not At All A Little A Fair Amount Very Much Extreme

Getting a paper cut on your finger *

Not At All A Little A Fair Amount Very Much Extreme

Receiving an injection in your mouth. *

Not At All A Little A Fair Amount Very Much Extreme

Getting strong soap in both your eyes while bathing or showering. *

Not At All A Little A Fair Amount Very Much Extreme

Having someone slam a heavy car door on your hand. *

Not At All A Little A Fair Amount Very Much Extreme

Gulping a hot drink before it has cooled. *

Not At All A Little A Fair Amount Very Much Extreme

Receiving an injection in your hip/buttocks. *

Not At All A Little A Fair Amount Very Much Extreme

Falling down a flight of concrete stairs. *

Not At All A Little A Fair Amount Very Much Extreme

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Home Page: Florida Ultra Running Research
Abstracts
Current Research
About
Contact
Surveys Home Page
- Pre-Race Survey
- Fear of Pain Survey