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Copyright 1991 Charles S. Cleeland, PhDPain Research GroupAll rights reservedPLEASE USEBLACK INK PENS ubject's Initials : _____PI: _____Protocol #: _____Study Name: _____Revision: 07/01/05PI: _____Protocol #: _____Study Name: _____Revision: 07/01/05(month)(day)(year)(month)(day)(y ear) Date: Study Subject #:1. Throughout our lives, most of us have had pain from time to time (such as minor headaches, sprains, and toothaches). Have you had pain other than these everyday kinds of pain today?Brief Pain Inventory (Short Form)2.

Copyright 1991 Charles S. Cleeland, PhD Pain Research Group All rights reserved PLEASE USE BLACK INK PEN Subject's Initials : _____ PI: _____ Protocol #: _____

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