Fibromyalgia interview

Press Begin to begin the interview

Widespread Pain Index (WPI)

Please indicate if you have had pain or tenderness during the past 7 days in the areas shown below</br>Check the boxes in the diagram for each area in which you have had pain or tenderness. You should not include pain caused by other diseases (arthrosis, arthritis, tendonitis, lupus, etc.)

Press Calculate at end for the interview result

Symptom Severity Scale (SS)

Phase 1

For each symptom listed below, use the following scales to indicate the severity of the symptom during the past 7 days.

• No problem

• Slight or mild problem: generally mild or intermittent.

• Moderate problem: Considerable problems; often present and/or at a moderate level.

• Severe problem: continuous, life-disturbing problems.

A. Fatigue:

B. Trouble thinking or remembering:

C. Waking up tired (unrefreshed):

Phase 2

During the past 6 months have you had any of the following symptoms?

A. Pain or cramps in lower abdomen:

B. Depression:

C. Headache:

Last question

Have the symptoms in the previous phases 2 and 3 and widespread pain been present at a similar level for at least 3 months?: