Numeric Pain Rating Scale
21 reviews
21K+
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Use our readymade template to create your Numeric Pain Rating Scale (NPRS) for pain assessment

Create your care assessments

NPRS score Pain Level Proposed treatment
0 None May not need treatment
1-3 Mild Non-opioid, may include adjuvant medication
4-6 Moderate Non-opioid, may consider opioid, adjuvant medication
7-10 Severe Opioid, adjuvant medication
  • navigate_next Prebuilt template with NPRS scoring to assess the presence of pain and measure its severity
  • navigate_next 11-point scale that scores each of the pain levels from “0” (no pain) to “10” (worst pain imaginable)
  • navigate_next Real-time calculation of NPRS Score and pain level 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
Please rate your pain by choosing the number that best describes your pain at its worst in the last 24 hours 8
Please rate your pain by choosing the number that best describes your pain at its least in the last 24 hours 3
Please rate your pain by choosing the number that tells how much pain you have right now 6
NPRS Score 6
Pain Level Moderate
  • navigate_next Pre-populate patient details such as patient id, name, email etc in the NPRS assessment form before sharing it with the patients
  • navigate_next Send an email invitation with a secure link for patients to complete their NPRS assessment form prior to their visit
  • navigate_next Allow patients to save their progress and complete their NPRS assessment form at a later time without losing any responses
  • navigate_next Set up an email template for your NPRS assessment and automatically send invitation emails to multiple patients with ease
  • navigate_next Send a confirmation email to the patients with their NPRS score, diagnosis, next steps when they submit their NPRS assessment

Track patient responses in Google Sheets

A B C D E
1 Name Question Answer Score Total Score
2 John W Please rate your pain by choosing the number that best describes your pain at its worst in the last 24 hours 8 8 6
3 John W Please rate your pain by choosing the number that best describes your pain at its least in the last 24 hours 3 3 6
4 John W Please rate your pain by choosing the number that tells how much pain you have right now 6 6 6
  • navigate_next Export patient responses including the calculated NPRS score and pain level to Google Sheets for easy record-keeping
  • navigate_next Export individual points for pain levels 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 NPRS score by email whenever a patient submits their NPRS 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: ******
Please rate your pain by choosing the number that best describes your pain at its worst in the last 24 hours: 8
Please rate your pain by choosing the number that best describes your pain at its least in the last 24 hours: 3
Please rate your pain by choosing the number that tells how much pain you have right now: 6
NPRS Score: 6
Pain Level: Moderate
NPRS Score: 6
Pain Level: Moderate
  • navigate_next Create a HIPAA compliant NPRS 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 NPRS form responses to Google Sheets and sending them on email
  • navigate_next Prepopulate patient details in NPRS 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 30, 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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