I FEAR the PAIN associated with:

		Not at all	A little	A fair amount	Very much	Extreme
1.	Breaking your arm	1	2	3	4	5
2.	Having a foot doctor remove a wart from your foot with a sharp instrument	1	2	3	4	5
3.	Getting a papercut on your finger	1	2	3	4	5
4.	Receiving an injection in your mouth	1	2	3	4	5
5.	Getting strong soap in both your eyes while bathing or showering	1	2	3	4	5
6.	Having someone slam a heavy car door on your hand	1	2	3	4	5
7.	Gulping a hot drink before it has cooled	1	2	3	4	5
8.	Receiving an injection in your hip/buttocks	1	2	3	4	5
9.	Falling down a flight of concrete stairs	1	2	3	4	5

The FPQ‐9 is copyrighted by the authors. Permission is given for users to reproduce the instrument for clinical and research purposes.