Do you have any pain or discomfort?  

Where is your pain?  

How often do you have pain? 

What does the facility do to manage your pain (e.g. hot or cold packs, pain medications)?  

Were you involved in the management of your pain?  

Is your pain relieved?  

For opioid use: What did the facility try before starting that medication?  

Does the pain prevent you from attending activities or doing other things you would like to do? 

Do you receive pain medications when needed such as before therapy or treatment? 

Do you receive pain medications in a timely manner when requested? 

Do you have any side effects (e.g., constipation or dizziness) related to your pain medications and are they addressed?