Comfort and Relaxation
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1. Default Section
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1
. Do you suffer from any of the following (either regularly or occasionally)?
Do you suffer from any of the following (either regularly or occasionally)?
Sciatica
Chronic backache
Occasional or activity related backache
Sports-related injury
Stomach pains
IBS or trapped wind
Menstrual cramps
Poor circulation or cold feet
Fibromyalgia
Arthritis or Rheumatism
None of these
Other (please specify)
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2
. Do you use heat to treat any of the above or similar conditions?
Do you use heat to treat any of the above or similar conditions?
Yes
No
Not Applicable
3
. Do you own any of the following:
Do you own any of the following:
Electric blanket
Hot water bottle
'Waterless' hot water bottle
Wheat bag
Hand warmers
Other (please specify)
4
. Which of the above do you use regularly?
Which of the above do you use regularly?
Electric blanket
Hot Water Bottle
'Waterless' hot water bottle
Wheat bag
Hand warmers
None
Other (please specify)
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5
. After a hard day, what is your number one relaxing activity or thing?
After a hard day, what is your number one relaxing activity or thing?
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6
. Please rate the importance of the choices below in making you feel better after a bad day:
Most important
Next important
Quite important
A little important
Not very important
N/A
Music
Please rate the importance of the choices below in making you feel better after a bad day: Music Most important
Next important
Quite important
A little important
Not very important
N/A
Physical warmth
Physical warmth Most important
Next important
Quite important
A little important
Not very important
N/A
Partner/family/friends
Partner/family/friends Most important
Next important
Quite important
A little important
Not very important
N/A
Fragrance (aromatherapy, oil burners etc)
Fragrance (aromatherapy, oil burners etc) Most important
Next important
Quite important
A little important
Not very important
N/A
Mental comfort / relaxation
Mental comfort / relaxation Most important
Next important
Quite important
A little important
Not very important
N/A
Taste (favourite food/drink)
Taste (favourite food/drink) Most important
Next important
Quite important
A little important
Not very important
N/A
Physical comfort / relaxation
Physical comfort / relaxation Most important
Next important
Quite important
A little important
Not very important
N/A
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7
. What is your favourite 'comfort' item of clothing?
What is your favourite 'comfort' item of clothing?
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8
. Which of these colours do you consider to be most relaxing?
Which of these colours do you consider to be most relaxing?
Pink
Blue
Green
Red
Black
Yellow
White
Purple
Other (please specify)
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9
. Please rate these options in order of which is most comforting to you? (with 10 being the most comforting)
1
2
3
4
5
6
7
8
9
10
N/A
A bar of chocolate
Please rate these options in order of which is most comforting to you? (with 10 being the most comforting) A bar of chocolate 1
2
3
4
5
6
7
8
9
10
N/A
A bottle of wine
A bottle of wine 1
2
3
4
5
6
7
8
9
10
N/A
A cuddle with your partner/child/pet/teddy bear (or all of these!)
A cuddle with your partner/child/pet/teddy bear (or all of these!) 1
2
3
4
5
6
7
8
9
10
N/A
A good movie
A good movie 1
2
3
4
5
6
7
8
9
10
N/A
A long hot bath
A long hot bath 1
2
3
4
5
6
7
8
9
10
N/A
A long walk
A long walk 1
2
3
4
5
6
7
8
9
10
N/A
A massage
A massage 1
2
3
4
5
6
7
8
9
10
N/A
Meditation
Meditation 1
2
3
4
5
6
7
8
9
10
N/A
Reading a book
Reading a book 1
2
3
4
5
6
7
8
9
10
N/A
Wrapping up in a duvet
Wrapping up in a duvet 1
2
3
4
5
6
7
8
9
10
N/A
10
. What is the best non-medical pain reliever for you? (a method of reducing or managing pain that does not involve traditional medication)
What is the best non-medical pain reliever for you? (a method of reducing or managing pain that does not involve traditional medication)
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