II. Indications

III. Scale: Answers

  1. Score 0: Not at all
  2. Score 1: A little bit
  3. Score 2: Somewhat
  4. Score 3: Quite a bit
  5. Score 4: Very much

IV. Questions: Over the last 7 days, how much have you been bothered by the following (use the answer scale for each symptom)

  1. Back pain
  2. Chest Pain or Shortness of Breath
  3. Dizziness
  4. Feeling tired or having low energy
  5. Headaches
  6. Pain in your arms, legs or joints
  7. Stomach or bowel problems
  8. Trouble sleeping

V. Interpretation

  1. Score 0-3
    1. No to minimal somatic symptom burden
  2. Score 4-7
    1. Low somatic symptom burden
  3. Score 8-11
    1. Medium somatic symptom burden
  4. Score 12-15
    1. High somatic symptom burden
  5. Score 16-32
    1. Very high somatic symptom burden

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