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Pain School Forms and Worksheets

On this page you will find a number of forms and worksheets that are included in the Pain School resource manual provided to participants in the Pain School program. These are forms and worksheets which our patients have found to be helpful but which, when used on a regular basis may need to be periodically replaced. If you have been participating in the Pain School program and have used up the copies of these forms included in your Pain School manual, you can download and print fresh copies here. If you have not participated in the Pain School program but think that these forms might be helpful to you, please help yourself to the forms.

  • Pain Diary
    This is a form which you can use to track a wide variety of factors which might impact your experience of your baseline level of pain. When you have a better understanding of the factors which influence your baseline level of pain then you will be in a position to do something about those factors.


  • Self Observation of Pain Triggers Exercise
    This is a form which you can use to track a wide variety of factors which might impact your experience of your baseline level of pain. When you have a better understanding of the factors which influence your baseline level of pain then you will be in a position to do something about those factors.

  • Functional Goal Planner and Tracker
    This form can help you to identify personal Functional Goals (physical activities/bodily movements which you would like to be able to engage in but have given up or reduced because of pain) and will also help you to develop step-by -step Action Plans for gradually moving toward achieving the functional goals you have identified.


  • Assertiveness Scripting
    This form can be helpful if you are working on learning how to more effectively communicate with other people, especially in difficult situations.  Remember that difficult interactions with others are stressful and that stress pushes pain levels up.