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Find a Pain Truth Program Certified
Health Care Provider (PTC HCP)
Login as a
Health Care Provider
Login as a
Patient

Nervous System Sensitivity Scale (NSSS)

This questionnaire will help reveal all the OPPORTUNITIES we have for helping you in your recovery.

Please complete the following questionnaire.

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Nervous System Sensitivity Scale (NSSS) ...because many factors contribute to pain

DANGER SCALE: Select the most accurate number (0 = Really low 10 = Really high)

Stress & worry about pain*

Fear of not recovering*

Life stress & anxiety / Past trauma*

Low mood / sadness*

Legal & insurance issues / Anger / Sense of Injustice*

Poor sleep*

Loneliness*

Doing too much & pushing too hard*

Medications & Drugs (Pain meds, Nicotine, Alcohol, etc.)*

Hopelessness*

Your NSSS Danger Score:

SAFETY SCALE: Select the most accurate number (0 = Not good 10 = Really good)

Clear activity goals set with a plan*

Sense of control over pain*

Current level of fun & pleasure in life*

Trust in own body*

Self-acceptance*

Sense of control over stress & anxiety*

Physical activity*

Practicing relaxation & mindfulness*

Healthy diet & nutrition (Eat fresh fruits & vegetables / Limit sugar)*

Time spent outdoors / in nature*

Your NSSS Safety Score:

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