Graded Chronic Pain Scale (GCPS)

1. How would you rate your facial pain on a 0 to 10 scale at the present time, that is right now,
where 0 is “no pain” and 10 is “pain as bad as could be”?

No pain Pain as bad as

could be
0 1 2 3 4 5 6 7 8 9 10

2. In the past six months, how intense was your worst pain, rated on a 0 to 10 scale where 0 is “no
pain” and 10 is “pain as bad as could be”?

No pain Pain as bad as

could be
0 1 2 3 4 5 6 7 8 9 10

3. In the past six months, on the average, how intense was your pain rated on a 0-10 scale where 0
is “no pain” and 10 is “pain as bad as could be”? (That is you usual pain at times you were
experiencing pain).)

No pain Pain as bad as

could be
0 1 2 3 4 5 6 7 8 9 10

4. In the past six months, how much has facial pain interfered with your daily activities rated on a
0 to 10 scale where 0 is “no interference’ and 10 is “unable to carry on any activities”?

No interference Unable to
carry on any activities
0 1 2 3 4 5 6 7 8 9 10

5. In the past six months, how much has facial pain changed your ability to take part in
recreational, social and family activities where 0 is “no change” and 10 is “extreme change”?

No change Extreme change

0 1 2 3 4 5 6 7 8 9 10

6. In the past six months, how much has facial pain changed your ability to work (including
housework) where 0 is “no change” and 10 is “extreme change”?

No change Extreme change

0 1 2 3 4 5 6 7 8 9 10

7. About how many days in the last six months have you been kept from your usual activities
(work, school or housework) because of facial pain?
_____________
Days
Scoring Criteria for Grading Chronic Pain Severity

Characteristic Pain Intensity is a 0 to 100 score derived from Questions 1 through 3:

Mean (Pain Right Now, Worst Pain, Average Pain) X 10

Disability Score is 0 to 100 score derived from Questions 4 through 6:

Mean (Daily Activities, Social Activities, Work Activities) X 10

Disability Points: Add the indicated points for Disability Days (Question 7) and for
Disability Score.

Disability Points

Disability Days (0-180 Days) Disability Score (0-100)

0-6 Days 0 Points 0-29 0 Points

7-14 Days 1 Point 30-49 1 Point
15-30 Days 2 Points 50-69 2 Points
31+ Days 3 Points 70+ 3 Points

Classification

Grade 0 No TMD pain in prior 6 months

Grade 1
Low Intensity Characteristic Pain Intensity< 50
Low Disability < 3 Disability Point

Grade II
High Intensity Characteristic Pain Intensity > 50
Low Disability < 3 Disability Points

Grade III
High Disability 3 to 4 Disability Points
Moderately Limiting (Regardless of Characteristic Pain Intensity)

Grade IV
High Disability 5 to 6 Disability Points
Severely Limiting (Regardless of Characteristic Pain Intensity)

Von Korff M, Ormel J, Keefe FJ et al. Grading the severity of chronic pain.

Pain 1992; 50:133-149.