Self-Assessment Quiz

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Assess Yourself — Questionnaire for Identifying Neuroplastic Pain

This self-assessment questionnaire is intended for anyone who wants to check if the pain they are experiencing is neuroplastic. It is based on the Self Assessment Questionnaire created by Dr David Clarke, president of the Psychophysiologic Disorder Association (PPDA) and Dr Howard Schubiner.

The questionnaire is intended for those who meet the following two basic conditions:

1. The pain or symptoms have persisted for more than 3-6 months, or, in the case of an injury, beyond the expected recovery time.
2. A medical examination by a physician did not identify any medical problem (structural damage to the body itself) that could cause the pain, such as an illness, a tumor, cancer, a fracture, infection, etc.

The questionnaire doesn’t provide proof that you have neuroplastic pain (Because there is no on objective indicator that), but it can indicate that there is a high probability that you do. The higher the number of positive responses (or even one positive response in the first section), the higher the chance that you have pain with a neurological-emotional cause, and the treatment methods presented on this website might be able to help you.

If you have doubts about the diagnosis, it’s a good idea to see a doctor who is familiar with this diagnosis and can confirm or rule it out.

For further information about the process of diagnosis, see the Diagnosis section of this website.


Section 1- Examining the Symptoms

*Reminder: receiving a diagnosis of neuroplastic pain requires at least
one positive answer from the symptoms section

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Section 2- Personal History

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Section 3- Stressful Events

Events You Experienced in the Past or Around the Time the Symptoms Appeared

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Section 4- Personality Traits

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Section 5- Autonomic Regulation

Do you experience one or more of the following symptoms:

Ringing in your ears/tinnitus, dizziness during bowel movements, throat clearing, a frequent need to cough, unsteadiness when standing, dryness in your mouth, quick, shallow breathing, itchy skin, growling stomach during digestion/hunger, eye pain/tiredness in the eyes, urinary frequency, rectal pressure, shaking hands, muscular tension in your limbs, abdominal bloating, goosebumps, facial tics, fatigue, chronic stomachaches, sweaty palms, awkward gait and tendency to bump into things while walking, trembling lips, hyperperspiration in your armpits, a tingling sensation throughout your body, grinding teeth, locked jaw during sleep, elevated heart rate, fluctuating heart rate ("heart skipping a beat"), a tendency for constipation/diarrhea, difficulty breathing deeply, hypersalivation, difficulty focusing

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Important!

If you answered these questions and found that your pain is consistent with ONE of the criteria in Section 1 and more criteria from the following sections,
there is a significant chance your pain is neuroplastic!

This is good news, for the simple reason that pain of this type is not dangerous,
it is reversible, and you can heal from it!

Continue to the following sections of the site and start paving the way out of the cycle of pain.

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