Pain Catastrophizing Scale
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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
  • navigate_next Prebuilt template with PCS scoring to assess the presence of pain and measure its severity
  • navigate_next 13-item questionnaire that scores each of the 13 criteria as “0” (not at all) to “4” (all the time)
  • navigate_next Real-time calculation of PCS Score and pain severity based on the form responses
  • navigate_next Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
  • navigate_next Compare the scores from the initial screening with that of the followup to track the progression of pain
  • navigate_next 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
  • navigate_next Pre-populate patient details such as patient id, name, email etc in the PCS assessment form before sharing it with the patients
  • navigate_next Send an email invitation with a secure link for patients to complete their PCS assessment form prior to their visit
  • navigate_next Allow patients to save their progress and complete their PCS assessment form at a later time without losing any responses
  • navigate_next Set up an email template for your PCS assessment and automatically send invitation emails to multiple patients with ease
  • navigate_next 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
  • navigate_next Export patient responses including the calculated PCS score and pain severity to Google Sheets for easy record-keeping
  • navigate_next Export individual points for 13 criteria to Google Sheets for data manipulation and analysis for comprehensive insights
  • navigate_next Use pre-built reports to easily keep track of patient progress over time and monitor changes in their pain symptoms
  • navigate_next Receive a copy of the response and the calculated PCS score by email whenever a patient submits their PCS assessment
  • navigate_next 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
  • navigate_next Create a HIPAA compliant PCS assessment form to safely collect, store and access patient responses
  • navigate_next Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
  • navigate_next Automatically mask PHI fields when exporting PCS form responses to Google Sheets and sending them on email
  • navigate_next Prepopulate patient details in PCS assessments by creating secure prefill links without exposing PHI
  • navigate_next 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 27, 2023

5 stars

I am 100% a fan of this company. We use HIPAA compliant Google Forms and needed a way to collect signatures, the industry standard company is TOO expensive. I started using FormEsign and it worked perfectly. It lacked the ability to provide a pdf copy of the form after signature. This company worked with me help their product evolve into something that could benefit all future clients AND the end user. The team was polite, professional, kind, enthusiastic, and willing to make a change. This earned my loyalty. I will sing their praises. Good work, and thank you!

— Royal Bush

July 23, 2023

5 stars

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

1 stars

Does not work

— Myles Sicuro

October 31, 2023

5 stars

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

5 stars

It very friendly to used. I love it. For my case multiple signature needed. it's supporting

— Senthil Kumar

November 27, 2023

5 stars

Yeah this is good for all

— luqman khan

July 10, 2023

5 stars

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

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