Use our readymade template to create your Self-report Leeds Assessment of Neuropathic Symptoms and Signs Scale (S-LANSS) for assessing neuropathic pain
Create your care assessments
| S-LANSS score | Proposed treatment |
|---|---|
| 0-11 | Pain is unlikely to be neuropathic |
| 12-24 | Pain is likely to be neuropathic |
- Prebuilt template with S-LANSS scoring to assess the presence of neuropathic pain
- 7-item questionnaire that scores each item based on the patient's response
- Real-time calculation of S-LANSS Score based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- 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. In the area where you have pain, do you also have “pins and needles”, tingling or prickling sensations? | YES – I get these sensations |
| 2. Does the painful area change colour (perhaps look mottled or more red) when the pain is particularly bad? | NO – The pain does not affect the colour of my skin |
| 3. Does your pain make the affected skin abnormally sensitive to touch? Getting unpleasant sensations or pain when lightly stroking the skin might describe this. | YES – My skin in that area is particularly sensitive to touch |
| 4. Does your pain come on suddenly and in bursts for no apparent reason when you are completely still? Words like “electric shocks”, jumping and bursting might describe this. | NO – My pain doesn’t really feel like this |
| 5. In the area where you have pain, does your skin feel unusually hot like a burning pain? | YES – I get burning pain often |
| 6. Gently rub the painful area with your index finger and then rub a non-painful area (for example, an area of skin further away or on the opposite side from the painful area). How does this rubbing feel in the painful area? | I feel discomfort, like pins and needles, tingling or burning in the painful area that is different from the non-painful area |
| 7. Gently press on the painful area with your finger tip and then gently press in the same way onto a non-painful area (the same non-painful area that you chose in the last question). How does this feel in the painful area? | I feel numbness or tenderness in the painful area that is different from the non-painful area |
| LANSS Score | 16 |
- Collect patient details such as patient id, name, email etc in the S-LANSS assessment form
- Send an email invitation with a secure link for patients to complete their S-LANSS assessment form prior to their visit
- Allow patients to save their progress and complete their S-LANSS assessment form at a later time without losing any responses
- Set up an email template for your S-LANSS assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their S-LANSS score, diagnosis, next steps when they submit their S-LANSS assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | John W | 1. In the area where you have pain, do you also have “pins and needles”, tingling or prickling sensations? | YES – I get these sensations | 5 | 16 |
| 3 | John W | 2. Does the painful area change colour (perhaps look mottled or more red) when the pain is particularly bad? | NO – The pain does not affect the colour of my skin | 0 | 16 |
| 4 | John W | 3. Does your pain make the affected skin abnormally sensitive to touch? Getting unpleasant sensations or pain when lightly stroking the skin might describe this. | YES – My skin in that area is particularly sensitive to touch | 3 | 16 |
| 5 | John W | 4. Does your pain come on suddenly and in bursts for no apparent reason when you are completely still? Words like “electric shocks”, jumping and bursting might describe this. | NO – My pain doesn’t really feel like this | 0 | 16 |
| 6 | John W | 5. In the area where you have pain, does your skin feel unusually hot like a burning pain? | YES – I get burning pain often | 1 | 16 |
| 7 | John W | 6. Gently rub the painful area with your index finger and then rub a non-painful area (for example, an area of skin further away or on the opposite side from the painful area). How does this rubbing feel in the painful area? | I feel discomfort, like pins and needles, tingling or burning in the painful area that is different from the non-painful area | 5 | 16 |
| 8 | John W | 7. Gently press on the painful area with your finger tip and then gently press in the same way onto a non-painful area (the same non-painful area that you chose in the last question). How does this feel in the painful area? | I feel numbness or tenderness in the painful area that is different from the non-painful area | 3 | 16 |
- Export patient responses including the calculated S-LANSS score to Google Sheets for easy record-keeping
- Export individual points for 7 items 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 neuropathic pain symptoms
- Receive a copy of the response and the calculated S-LANSS score by email whenever a patient submits their S-LANSS 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. In the area where you have pain, do you also have “pins and needles”, tingling or prickling sensations?: | YES – I get these sensations |
| 2. Does the painful area change colour (perhaps look mottled or more red) when the pain is particularly bad?: | NO – The pain does not affect the colour of my skin |
| 3. Does your pain make the affected skin abnormally sensitive to touch? Getting unpleasant sensations or pain when lightly stroking the skin might describe this.: | YES – My skin in that area is particularly sensitive to touch |
| 4. Does your pain come on suddenly and in bursts for no apparent reason when you are completely still? Words like “electric shocks”, jumping and bursting might describe this.: | NO – My pain doesn’t really feel like this |
| 5. In the area where you have pain, does your skin feel unusually hot like a burning pain?: | YES – I get burning pain often |
| 6. Gently rub the painful area with your index finger and then rub a non-painful area (for example, an area of skin further away or on the opposite side from the painful area). How does this rubbing feel in the painful area?: | I feel discomfort, like pins and needles, tingling or burning in the painful area that is different from the non-painful area |
| 7. Gently press on the painful area with your finger tip and then gently press in the same way onto a non-painful area (the same non-painful area that you chose in the last question). How does this feel in the painful area?: | I feel numbness or tenderness in the painful area that is different from the non-painful area |
| LANSS Score: | 16 |
| LANSS Score: | 16 |
- Create a HIPAA compliant S-LANSS 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 S-LANSS form responses to Google Sheets and sending them on email
- Prepopulate patient details in S-LANSS 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
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