Fountain Chronic Pain & Function Scale (FCPFS-12)

Take our clinical assessment to evaluate how chronic pain affects your daily life. This quick quiz helps identify the impact of pain on your quality of life.

Before you begin

Please enter your contact details to begin the screening.

See what this test asks

Over the past 2 weeks, how much have the following affected you?

Physical Impact & Daily Living

  • I experienced persistent physical pain or discomfort
  • Pain limited my daily activities
  • Pain interfered with my sleep
  • I felt exhausted or depleted because of pain

Emotional Health

  • I felt frustrated or hopeless about my pain
  • Pain affected my mood or emotional state
  • I had difficulty concentrating because of pain
  • I felt disconnected from my body because of pain

Social & Behavioral Changes

  • I avoided movement or activity due to fear of worsening pain
  • Pain affected my relationships or social life
  • I relied on medication or substances to manage pain
  • Pain made it hard to feel present or engaged in life