• The following are some questions given to all patients at the Colorado Clinic who are on or being considered for opioids for their pain. Please answer each question as honestly as possible. This information is for our records and will remain confidential. Your answers alone will not determine your treatment. Thank you.

    Please answer the questions below using the following scale:

    0 = Never     1 = Seldom     2 = Sometimes      3 = Often     4 = Very Often