| Not at all | A little | A fair amount | Very much | Extreme | |
|---|---|---|---|---|---|
| 1. Pain causes me to have strong negative feelings. | 0 | 1 | 2 | 3 | 4 |
| 2. The fact that I could feel pain the future worries me a lot. | 0 | 1 | 2 | 3 | 4 |
| 3. I am scared of feeling pain. | 0 | 1 | 2 | 3 | 4 |
| 4. Being in pain makes me feel sad. | 0 | 1 | 2 | 3 | 4 |