APPENDICES
THE APPENDIX 1
Poppy-Gillovsky a painful questionnaire (the modified Russified variant)
FIRST NAME, MIDDLE INITIAL, LAST NAME
Filling date
Read, please, attentively all words-definitions and note only those from them which most precisely characterise your pain.
It is possible to note only by one word in any of 20 columns, but it is not obligatory in each column.1. What words you can describe the pain? | (A sensory scale) | |
1. 1. Pulsing 2. Seizing 3. Pulling 4. Quilting 5. Banging 6. Hollowing | The similar: 2. 1. To the electric category 2. To current blow 3. To a shot | 3. 1. Pricking 2. Sticking 3. Drilling 4. Drilling 5. Punching |
4. 1. Acute 2. Cutting 3. polosujushchaja | 5. 1. Pressing 2. Compressing 3. Pressing 4. Squeezing 5. Crushing | 6. 1. Pulling 2. Unscrewing 3. Pulling out |
7. 1. Hot 2. Burning down 3. Scalding 4. Scorching | 8. 1. Itching 2. Burning 3. Fretting 4. Stinging | 9. 1. Stupid 2. Aching 3. Mozzhashchaja 4. Lomjashchaja 5. Splitting |
10. 1. Holding apart 2. Stretching 3. Tearing apart 4. Breaking off | 11. 1. Poured 2. Extending 3. Getting 4. Penetrating | 12. 1. Scratching 2. Burning 3. Tearing up 4. Sawing 5. Gnawing |
13. 1. Mute 2. Reducing 3. Freezing | ||
What feelings are caused by a pain, what influence renders on mentality? | ||
14. 1. Tyres 2. Exhausts | 15. Causes: 1. Feeling of a nausea 2. Dyspneas | 16. Causes feeling: 1. Alarms 2. Pavor 3. Horror |
17. 1. Oppresses 2. Irritates 3. Angers 4. Infuriates 5. Drives to despair | 18. 1. Weakens 2. Blinds | 19. 1. The Pain-hindrance 2. The Pain-disappointment 3. The Pain - suffering 4. The Pain - an excruciating 5. The Pain-torture |
How you estimate the pain? (evaljuativnaja a scale) | ||
20. 1. Weak 2. Moderated 3. Strong 4. The strongest 5. Intolerable |
Other medical related information APPENDICES:
- THE TABLE OF CONTENTS
- Appendices
- the Maintenance
- APPENDICES
- THE TABLE OF CONTENTS
- INTRODUCTION
- APPENDICES
- the Table of contents
- Appendices
- INTRODUCTION
- THE MAINTENANCE
- INTRODUCTION
- techniques of psychological diagnostics.
- methods of statistical processing.
- psychological features of children with disorders MI and SNFTO before treatment.