Table 2 Questions used in the subjective digital profile
Category | Question | Answer | Type |
|---|---|---|---|
Mood | Please rate your mood right now (where 1 star is worst mood, 3 stars is neutral mood, and 5 stars is best mood) | Stars (1–5) | Single Select |
Pain | Which number best describes the intensity of your overall pain? (0 for no pain and 10 for worst pain imaginable) | Input via a sliding scale between 0–10. | Number Slider |
Pain | Which number best describes the intensity of your leg pain? (0 for no pain and 10 for worst pain imaginable, please select 0 if you don’t have any leg pain) | Input via a sliding scale between 0–10. | Number Slider |
Pain | Which number best describes the intensity of your leg pain that your neurostimulator is programmed to treat? (0 for no pain and 10 for worst pain imaginable, please select 0 if you don’t have any leg pain) | Input via a sliding scale between 0–10. | Number Slider |
Pain | Which number best describes the intensity of your low back pain? (0 for no pain and 10 for worst pain imaginable, please select 0 if you don’t have any low back pain) | Input via a sliding scale between 0–10. | Number Slider |
Pain | Which number best describes the intensity of your low back pain that your neurostimulator is programmed to treat? (0 for no pain and 10 for worst pain imaginable, please select 0 if you don’t have any low back pain) | Input via a sliding scale between 0–10. | Number Slider |
Sleep | How many hours did you sleep in the last day? | 0–24 | Number Slider |
Sleep | Please rate the quality of your sleep where 1 star is poor sleep and 5 stars is great sleep. | Star (1–5) | Single Select |
Activity | Does your pain interfere with your activities? | - I have no problems doing my usual activities / - I have slight problems doing my usual activities / - I have some problems doing my usual activities / - I have severe problems doing my usual activities / - I am unable to do my usual activities | Single Select |
Activity | What type of activities did you do today? (Select more than one if applicable) | - Standing / - Sitting / - Housework / - Walking / - Running / -Dressing / -Bathing / -Feeding/eating / -Driving / -Cooking / -None of the above | Multi Select |
Alertness | How rested, refreshed and restored do you feel on waking? | - Not at all / - Slightly / - Moderately / - Quite a bit / - Extremely | Single Select |
Medication | Did you need to take prescribed pain medication (other than opioids) for your pain today? Examples may include: Neurontin/Gabapentin, Lyrica/Pregabalin, Cymbalta/Duloxetine, Voltaren Gel, Amitriptyline/Elavil | - No, I didn’t need to use any / - Yes, I needed to use less than usual / - Yes, I needed about the same amount / - Yes, I needed to use more than usual / - No, I do not have any pain medication (other than opioids) prescribed / - Prefer not to answer / - I don’t remember, unsure / - Other | Single Select |
Medication | Did you need to take prescribed opioid medication for your pain today? Examples of opioids include: Morphine, Fentanyl, Oxycodone, Percocet, Hydrocodone, Vicodin | - No, I didn’t need to use any / - Yes, I needed to use less than usual / - Yes, I needed about the same amount / - Yes, I needed to use more than usual / - No, I do not have any opioid medications prescribed / - Prefer not to answer / - I don’t remember, unsure / - Other | Single Select |
Medication | Did you need to take over-the counter pain medication today? Examples include: NSAIDs, Tylenol, Advil, Celebrex, Aleve, Ibuprofen, Capsaicin cream/gel | - No, I didn’t need to use any / - Yes, I needed to use less than usual / - Yes, I needed about the same amount / - Yes, I needed to use more than usual / - No, I do not have any opioid medications prescribed / - Prefer not to answer / - I don’t remember, unsure / - Other | Single Select |
