The Mcgill Pain Questionnaire Template

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The McGill Pain Questionnaire
Overview: The McGill Pain Questionnaire can be used to evaluate a person experiencing significant
pain. It can be used to monitor the pain over time and to determine the effectiveness of any
intervention. It was developed at by Dr. Melzack at McGill University in Montreal Canada and has
been translated into several languages.
Sections:
(1) What Does Your Pain Feel Like?
(2) How Does Your Pain Change with Time?
(3) How Strong is Your Pain?
What Does Your Pain Feel Like?
Statement: Some of the following words below describe your present pain. Circle ONLY those words
that best describe it. Leave out any category that is not suitable. Use only a single word in each
appropriate category - the one that applies best.
Group
Descriptor
Points
1 (temporal)
flickering
1
quivering
2
pulsing
3
throbbing
4
beating
5
pounding
6
2 (spatial)
jumping
1
flashing
2
shooting
3
3 (punctate pressure)
pricking
1
boring
2
drilling
3
stabbing
4
lancinating
5
4 (incisive pressure)
sharp
1
cutting
2
lacerating
3

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