Use our readymade template to create your Pain Catastrophizing Scale (PCS) for assessing patient's pain
Create your care assessments
| PCS-T score | Diagnosis |
|---|---|
| 0-30 | Below the threshold for clinical catastrophizing |
| 31-52 | Meets the criteria for clinical catastrophizing |
- Prebuilt template with PCS scoring to assess the presence of pain and measure its severity
- 13-item questionnaire that scores each of the 13 criteria as “0” (not at all) to “4” (all the time)
- Real-time calculation of PCS Score and pain severity 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 |
| Doctor's Name | Dr. Smith |
| Location | New York |
| 1. I worry all the time about whether the pain will end | To a moderate degree |
| 2. I feel I can’t go on | To a slight degree |
| 3. It’s terrible and I think it’s never going to get any better | Not at all |
| 4. It’s awful and I feel that it overwhelms me | To a great degree |
| 5. I feel I can’t stand it anymore | All the time |
| 6. I become afraid that the pain will get worse | To a slight degree |
| 7. I keep thinking of other painful events | To a moderate degree |
| 8. I anxiously want the pain to go away | To a great degree |
| 9. I can’t seem to keep it out of my mind | All the time |
| 10. I keep thinking about how much it hurts | To a moderate degree |
| 11. I keep thinking about how badly I want the pain to stop | To a slight degree |
| 12. There’s nothing I can do to reduce the intensity of the pain | Not at all |
| 13. I wonder whether something serious may happen | To a great degree |
| PCS-T | 31 |
| Rumination | 10 |
| Magnification | 8 |
| Helplessness | 13 |
| Diagnosis | Meets the criteria for clinical catastrophizing |
- Pre-populate patient details such as patient id, name, email etc in the PCS assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their PCS assessment form prior to their visit
- Allow patients to save their progress and complete their PCS assessment form at a later time without losing any responses
- Set up an email template for your PCS assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their PCS score, diagnosis, next steps when they submit their PCS assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | John W | 1. I worry all the time about whether the pain will end | To a moderate degree | 2 | 31 |
| 3 | John W | 2. I feel I can’t go on | To a slight degree | 1 | 31 |
| 4 | John W | 3. It’s terrible and I think it’s never going to get any better | Not at all | 0 | 31 |
| 5 | John W | 4. It’s awful and I feel that it overwhelms me | To a great degree | 3 | 31 |
| 6 | John W | 5. I feel I can’t stand it anymore | All the time | 4 | 31 |
| 7 | John W | 6. I become afraid that the pain will get worse | To a slight degree | 1 | 31 |
| 8 | John W | 7. I keep thinking of other painful events | To a moderate degree | 2 | 31 |
| 9 | John W | 8. I anxiously want the pain to go away | To a great degree | 3 | 31 |
| 10 | John W | 9. I can’t seem to keep it out of my mind | All the time | 4 | 31 |
| 11 | John W | 10. I keep thinking about how much it hurts | To a moderate degree | 2 | 31 |
| 12 | John W | 11. I keep thinking about how badly I want the pain to stop | To a slight degree | 1 | 31 |
| 13 | John W | 12. There’s nothing I can do to reduce the intensity of the pain | Not at all | 0 | 31 |
| 14 | John W | 13. I wonder whether something serious may happen | To a great degree | 3 | 31 |
- Export patient responses including the calculated PCS score and pain severity to Google Sheets for easy record-keeping
- Export individual points for 13 criteria 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 PCS score by email whenever a patient submits their PCS 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: | ****** |
| Doctor's Name: | Dr. Smith |
| Location: | New York |
| 1. I worry all the time about whether the pain will end: | To a moderate degree |
| 2. I feel I can’t go on: | To a slight degree |
| 3. It’s terrible and I think it’s never going to get any better: | Not at all |
| 4. It’s awful and I feel that it overwhelms me: | To a great degree |
| 5. I feel I can’t stand it anymore: | All the time |
| 6. I become afraid that the pain will get worse: | To a slight degree |
| 7. I keep thinking of other painful events: | To a moderate degree |
| 8. I anxiously want the pain to go away: | To a great degree |
| 9. I can’t seem to keep it out of my mind: | All the time |
| 10. I keep thinking about how much it hurts: | To a moderate degree |
| 11. I keep thinking about how badly I want the pain to stop: | To a slight degree |
| 12. There’s nothing I can do to reduce the intensity of the pain: | Not at all |
| 13. I wonder whether something serious may happen: | To a great degree |
| PCS-T: | 31 |
| Rumination: | 10 |
| Magnification: | 8 |
| Helplessness: | 13 |
| Diagnosis: | Meets the criteria for clinical catastrophizing |
| PCS-T: | 31 |
| Diagnosis: | Meets the criteria for clinical catastrophizing |
- Create a HIPAA compliant PCS 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 PCS form responses to Google Sheets and sending them on email
- Prepopulate patient details in PCS 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.
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