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 Pain Self Efficacy Questionnaire (PSEQ) 

Please rate how confident you are that you can do the following things at present, despite the pain.  

I can enjoy things, despite the pain             0          1          2          3          4          5             6

I can do most of the household                    0          1          2          3          4          5             6
chores despite the pain

I can socialize with my friends and              0          1          2          3          4          5             6
family as often as I used to despite 
the pain

I can cope with my pain in most                  0          1          2          3          4          5             6
situations

I can do some form of work, despite          0          1          2          3          4          5             6
the pain (work includes housework, 
paid and unpaid work)

I can still do many of the things I                 0          1          2          3          4          5             6
enjoy doing, such as hobbies or 
leisure activities despite the pain

I can cope with my pain without                  0          1          2          3          4          5             6
medication

I can still accomplish most of my                0          1          2          3          4          5             6
goals in life, despite the pain

I can live a normal lifestyle,                          0          1          2          3          4          5             6
despite the pain

I can gradually become more                      0          1          2          3          4          5             6
active, despite he pain

Source: NHS: Oldham Clinical Commissioning Group