• Date of Birth
     / /
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • Thank you for providing your information.

    Please click "Start" to see if our treatments at Oasis Therapeutics are the right fit for your needs.

    DISCLAMER: The results of this online health quiz are intended for informational purposes only and are not a substitute for professional medical advice, diagnosis, or treatment. This quiz does not establish a medical diagnosis. If you have concerns about your health or suspect you may have a medical condition, please consult a qualified healthcare professional for a comprehensive evaluation.

  • Over the last 2 weeks, how often have you been bothered by the following problems?

  • 1. Feeling nervous, anxious or on edge*
  • 2. Not being able to stop or control worrying*
  • 3. Little interest or pleasure in doing things*
  • 4. Feeling down, depressed or hopeless*

  • Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic.

  • For example:

    • a serious accident or fire
    • a physical or sexual assault or abuse
    • an earthquake or flood
    • a war
    • seeing someone be killed or seriously injured
    • having a loved one die through homicide or suicide

     

  • Have ever experienced this type of event(s)?*

  • If you have ever experienced this type of event, please answer the following: In the past month, have you:

  • 1. Had nightmares about the event(s) or thought about the event(s) when you did not want to?*
  • 2. Tried hard not to think about the event(s) or went out of your way to avoid situations that reminded you of the event(s)?*
  • 3. Been constantly on guard, watchful, or easily startled?*
  • 4. Felt numb or detached from people, activities, or your surroundings?*
  • 5. Felt guilty or unable to stop blaming yourself or others for the events(s) or any problems the event(s) may have caused?*

  • Now, we are going to see if you have any pain symptoms. Please answer the following questions to help us better understand your condition and how we can assist you.

  • 1. What number best describes your pain on average in the past week?*
  • 2. What number best describes how, during the past week, pain has interfered with your enjoyment of life?*
  • 3. What number best describes how, during this past week, pain has interfered with your general activity?*

  • Based on your responses, below are the results of the assessment quiz:

  • Image field 119
  • Image field 120
  • Image field 121
  • Image field 122
  • Image field 123
  • Image field 124
  • Image field 128
  • Image field 126
  • Image field 129
  • Image field 127
  • Should be Empty: