Question Title * 1. Do you have chronic pain in multiple ares of your body? Yes No OK Question Title * 2. Have you had or are you considering surgery for you pain? Yes No OK Question Title * 3. Have you missed more than three days of work for pain? Yes No OK Question Title * 4. Do you forgo social engagements do to pain? Yes No OK Question Title * 5. Do you lose more than an hour of sleep from pain? Yes No OK Question Title * 6. Have you become immobile due to pain? Yes No OK DONE