My Health and Wellbeing

My Health and Wellbeing

Step 1. About how you feel.

Step 2. About your pain.

Step 3. Do you have any problems or difficulties with:

Step 4. Your priorities for change.

Step 4. Your priorities for change.

Well done, you have completed all four steps.

Step 1. About how you feel.

Step 2. About your pain.

Step 3. Do you have any problems or difficulties with:

Step 4. Your priorities for change.

Step 4. Your priorities for change.

Well done, you have completed all four steps.

Your current level of pain

Your pain over the last seven days

Confidence to manage your pain

Don't forget to save your health check as a PDF.

Your current level of pain

Your pain over the last seven days

Confidence to manage your pain

Don't forget to save your health check as a PDF.

For each statement, select the option that is closest to how you have been feeling over the past two weeks.

5 = ‘All of the time’

4 = ‘Most of the time’

3 = ‘More than half the time’

2 = ‘Less than half the time’

1 = ‘Some of the time’

0 = ‘At no time’

Choose a number on the scale to rate your pain level at present.

0 = ‘No pain’

10 = ‘Worst/extreme pain’

Choose the number on the scale to rate how distressing the pain was on average over the last seven days.

0 = ‘No distress’

10 = ‘Extremely distressing’

How confident are you that you can do the following things at present, despite the pain?

0 = ‘Not at all confident’

6 = ‘Completely confident’

You selected these areas of your life as being ones where you have difficulties.

Now choose the ones that are most important for you to work on at the moment.

Choose a maximum of three.

You selected NONE, indicating that you are not experiencing any other difficulties.

If you want to add anything click 'Previous' and select or type any other difficulties you are experiencing.

If you don't want to add anything to your selection, click 'Next' to complete the Health and Wellbeing Check.

Here are your priorities for change.

We've included some useful tips and links to get you started:

Walking or moving about, lack of fitness and stamina

Balance or recurrent falls

Side effects or problems with current pain medication e.g. tablets etc.

Pain relief

Understanding why persistent pain occurs

An unhelpful pattern of activity of doing too much, getting more pain, then doing too little

Eating the right sort of foods, weight changes

Disturbed sleep, tiredness or lack of energy

Managing mood changes of depression, anger, anxiety or worry

Relationship difficulties: with partner, family etc, or sex life concerns

Remaining in work or returning to work and/or training

Financial or money difficulties

Other difficulties

You will be able to use the PDF to:

For each statement, select the option that is closest to how you have been feeling over the past two weeks.

5 = ‘All of the time’

4 = ‘Most of the time’

3 = ‘More than half the time’

2 = ‘Less than half the time’

1 = ‘Some of the time’

0 = ‘At no time’

Choose a number on the scale to rate your pain level at present.

0 = ‘No pain’

10 = ‘Worst/extreme pain’

Choose the number on the scale to rate how distressing the pain was on average over the last seven days.

0 = ‘No distress’

10 = ‘Extremely distressing’

How confident are you that you can do the following things at present, despite the pain?

0 = ‘Not at all confident’

6 = ‘Completely confident’

You selected these areas of your life as being ones where you have difficulties.

Now choose the ones that are most important for you to work on at the moment.

Choose a maximum of three.

You selected NONE, indicating that you are not experiencing any other difficulties.

If you want to add anything click 'Previous' and select or type any other difficulties you are experiencing.

If you don't want to add anything to your selection, click 'Next' to complete the Health and Wellbeing Check.

Here are your priorities for change.

We've included some useful tips and links to get you started:

Walking or moving about, lack of fitness and stamina

Balance or recurrent falls

Side effects or problems with current pain medication e.g. tablets etc.

Pain relief

Understanding why persistent pain occurs

An unhelpful pattern of activity of doing too much, getting more pain, then doing too little

Eating the right sort of foods, weight changes

Disturbed sleep, tiredness or lack of energy

Managing mood changes of depression, anger, anxiety or worry

Relationship difficulties: with partner, family etc, or sex life concerns

Remaining in work or returning to work and/or training

Financial or money difficulties

Other difficulties

You will be able to use the PDF to:

Look at later, as a reminder of how you felt today

Track your progress over time

Share it with a healthcare professional, so they can better understand what you need

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Resources for people with pain | Health and Wellbeing Check | My Health and Wellbeing

We value your thoughts. Help us improve the Health and Wellbeing Check by sharing your feedback in our quick, one-minute survey

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1Step 1

2Step 2

3Step 3

4Step 4

5Finish

Step 1. About how you feel(Required)

Your current level of pain(Required)

0	1	2	3	4	5	6	7	8	9	10

Your pain over the last seven days(Required)

0	1	2	3	4	5	6	7	8	9	10

“I can live a normal lifestyle, despite the pain”

Confidence to live normal lifestyle(Required)

0	1	2	3	4	5	6

“I can do some form of work, despite the pain” (work can mean house work, paid work or unpaid work)

Confidence to do some work(Required)

0	1	2	3	4	5	6

Do you have any problems or difficulties with:(Required)

Walking or moving about, lack of fitness and stamina

Balance or recurrent falls

Side effects or problems with current pain medication e.g. tablets etc.

Pain relief

Understanding why persistent pain occurs

An unhelpful pattern of activity of doing too much, getting more pain, then doing too little

Eating the right sort of foods, weight changes

Disturbed sleep, tiredness or lack of energy

Managing mood changes of depression, anger, anxiety or worry

Relationship difficulties: with partner, family etc, or sex life concerns

Remaining in work or returning to work and/or training

Financial or money difficulties

Other difficulties (for example, concerns about housing, leisure or social events, drinking, gambling or drug use).

My other difficulties(Required)

NONE tick box

NONE - I am not experiencing any other difficulties

Difficulty 1

Walking or moving about, lack of fitness and stamina

Difficulty 2

Balance or recurrent falls

Difficulty 3

Side effects or problems with current pain medication e.g. tablets etc.

Difficulty 4

Pain relief

Difficulty 5

Understanding why persistent pain occurs

Difficulty 6

An unhelpful pattern of activity of doing too much, getting more pain, then doing too little

Difficulty 7

Eating the right sort of foods, weight changes

Difficulty 8

Disturbed sleep, tiredness or lack of energy

Difficulty 9

Managing mood changes of depression, anger, anxiety or worry

Difficulty 10

Relationship difficulties: with partner, family etc, or sex life concerns

Difficulty 11

Remaining in work or returning to work and/or training

Difficulty 12

Financial or money difficulties

Difficulty 13

Other difficulties

Many people with persistent pain struggle with staying active. You may even worry that exercise will do more damage. In fact being active is one the best things you can do. Try exploring ways to get more active here

This is a common problem for people with persistent pain. Check out our top tips for gradually regaining your confidence and balance.

The NHS website also has useful tips on making changes to help you prevent falls and keep your confidence and independence.

If you're worried about your balance or mobility or you've had a fall you should contact your GP.

Pain medicines don’t always stop pain and often cause unpleasant side effects. So what should you do when the side effects outweigh the benefits? Find out here

Our understanding of medicines used for pain relief is changing. We now realise that opioid medicines especially, can sometimes actually make pain worse. So what are your options when medicines you've been prescribed are not helping with the pain? Find out here.

Persistent pain is different from the kind of pain you experience when you touch something hot or injure yourself. It goes on long after the original cause, and affects different parts of the brain and nervous system. So what can you do to change it? Is it possible to turn the pain down?

People living with persistent pain find that one of the key everyday skills they need is pacing. Pacing can help you achieve your goals without increasing your pain or letting tiredness force you to stop. Learn more about pacing here.

What we eat not only impacts our overall health, it can actually affect our pain levels too. So what exactly are the foods we need – and why are they important for pain? Find out here.

If you’re living with pain and struggling with sleep then you’re not alone. Research shows that by adjusting what you do during the day, as well as night, it is possible to achieve a healthier sleep pattern. Try these five changes to help you sleep better. Over a period of five to six weeks these can make a huge difference.

It’s normal to struggle with moods when you have persistent pain. Emotions or moods linked to pain can take over day-to-day life. Finding positive ways to manage mood changes can make a real difference. FInd out more here.

Living with persistent pain often impacts on the relationships we have with other people. Many people have found that by learning new ways to connect they are able to maintain and even strengthen their relationships with the people who matter to them most.

ASTRIID is a charity that supports people with long-term health conditions to find inclusive roles. Visit their website for useful resources such as their Job Interview Survival Guide.

National Debtline is a charity run by the Money Advice Trust. If you’re struggling with debt, they can help. Free telephone support or if you'd rather not speak on the phone, online advice is also available. Find out how National Debtline can help you here.

The other difficulties you described have been added to the PDF - you'll be able to review them when you download it.

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Date filled in

DD slash MM slash YYYY

Look at later, as a reminder of how you felt today
Track your progress over time
Share it with a healthcare professional, so they can better understand what you need

all of the time (5)

most of the time (4)

more than half the time (3)

less than half the time (2)

some of the time (1)

at no time (0)

I have felt cheerful and in good spirits

I have felt calm and relaxed

I have felt active and vigorous

I woke up feeling fresh and rested

My daily life has been filled with things that interest me