Loudoun County Public Schools
3 Place an “X” on the drawing to the left wherever you have pain. Beside the “X” indicate the type of pain you are experiencing: A- Ache ST- Stabbing. B- Burning SP- Spasm . N- Numbness P- Pins and Needles. T- Throbbing. PAIN SCALE: Please circle the number that best describes your overall pain: ................
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