Use our readymade template to create your Numeric Pain Rating Scale (NPRS) for pain assessment
Create your care assessments
| NPRS score | Pain Level | Proposed treatment |
|---|---|---|
| 0 | None | May not need treatment |
| 1-3 | Mild | Non-opioid, may include adjuvant medication |
| 4-6 | Moderate | Non-opioid, may consider opioid, adjuvant medication |
| 7-10 | Severe | Opioid, adjuvant medication |
- Prebuilt template with NPRS scoring to assess the presence of pain and measure its severity
- 11-point scale that scores each of the pain levels from “0” (no pain) to “10” (worst pain imaginable)
- Real-time calculation of NPRS Score and pain level based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Compare the scores from the initial screening with that of the followup to track the progression of pain
- Easily create responsive forms that allow patients to complete their assessments on any device at any time
Collect responses from your patients
| Patient ID | 1004 |
| Patient Name | John W |
| Patient Email | johnw@ymail.com |
| Patient Phone Number | 0987654321 |
| Please rate your pain by choosing the number that best describes your pain at its worst in the last 24 hours | 8 |
| Please rate your pain by choosing the number that best describes your pain at its least in the last 24 hours | 3 |
| Please rate your pain by choosing the number that tells how much pain you have right now | 6 |
| NPRS Score | 6 |
| Pain Level | Moderate |
- Pre-populate patient details such as patient id, name, email etc in the NPRS assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their NPRS assessment form prior to their visit
- Allow patients to save their progress and complete their NPRS assessment form at a later time without losing any responses
- Set up an email template for your NPRS assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their NPRS score, diagnosis, next steps when they submit their NPRS assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | John W | Please rate your pain by choosing the number that best describes your pain at its worst in the last 24 hours | 8 | 8 | 6 |
| 3 | John W | Please rate your pain by choosing the number that best describes your pain at its least in the last 24 hours | 3 | 3 | 6 |
| 4 | John W | Please rate your pain by choosing the number that tells how much pain you have right now | 6 | 6 | 6 |
- Export patient responses including the calculated NPRS score and pain level to Google Sheets for easy record-keeping
- Export individual points for pain levels to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their pain symptoms
- Receive a copy of the response and the calculated NPRS score by email whenever a patient submits their NPRS assessment
- Use data in Google Sheets to integrate with external EHR systems for seamless data transfer
HIPAA compliance
| Patient ID: | 1004 |
| Patient Name: | ****** |
| Patient Email: | ****** |
| Patient Phone Number: | ****** |
| Please rate your pain by choosing the number that best describes your pain at its worst in the last 24 hours: | 8 |
| Please rate your pain by choosing the number that best describes your pain at its least in the last 24 hours: | 3 |
| Please rate your pain by choosing the number that tells how much pain you have right now: | 6 |
| NPRS Score: | 6 |
| Pain Level: | Moderate |
| NPRS Score: | 6 |
| Pain Level: | Moderate |
- Create a HIPAA compliant NPRS assessment form to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting NPRS form responses to Google Sheets and sending them on email
- Prepopulate patient details in NPRS assessments by creating secure prefill links without exposing PHI
- Limit access to patient data only for authorized personnel and minimize the risk of data breaches
These reviews are reproduced without modification from Google Workspace Marketplace.
July 23, 2023
I am not tech savvy. I chose formesign to help create registration links for clients. Vipid has been great in assisting me. He goes above and beyond. My company now has moved from the stone age to modern age through the ability to use this feature. Of the many features I am impressed with, the ability to update a form without needing to regenerate a link is amazing. I often make mistakes and that ability allows me to fix mistakes without needing to change everything. Thank you!!!
— Sol Evans
February 16, 2024
Does not work
— Myles Sicuro
October 31, 2023
We needed a way to create forms with e-signatures and this app made it very easy. Support is also very quick and always helpful. Cannot recommend enough!
— Chris Henesy
July 12, 2023
It very friendly to used. I love it. For my case multiple signature needed. it's supporting
— Senthil Kumar
November 27, 2023
Yeah this is good for all
— luqman Khan
July 10, 2023
We were looking for a way to have a signature option in our form. Formesign addon allowed us to collect signatures for the acknowledgment and consent forms. It was simple and easy to setup. Very useful addon for google forms.
— Joan S