Use our readymade template to create your P4 Pain Intensity Measure for assessing pain intensity
Create your care assessments
| P4 score | Pain Intensity |
|---|---|
| 0-10 | Mild |
| 11-20 | Moderate |
| 21-30 | Severe |
| 31-40 | Very severe |
- 4-item questionnaire that scores each item from “0” (no pain) to “10” (worst pain imaginable)
- Real-time calculation of P4 Score based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Easily create responsive forms that allow patients to complete their assessments on any device at any time
Collect responses from your patients
| Patient ID | 1004 |
| Patient Name | John W |
| Patient Email | johnw@ymail.com |
| Patient Phone Number | 0987654321 |
| Doctor's Name | Dr. Smith |
| Location | New York |
| In the morning over the past 2 days | 5 |
| In the afternoon over the past 2 days | 6 |
| In the evening over the past 2 days | 7 |
| With activity over the past 2 days? | 8 |
| P4 Score | 26 |
- Pre-populate patient details such as patient id, name, email etc in the P4 Pain Intensity Measure before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their P4 Pain Intensity Measure prior to their visit
- Allow patients to save their progress and complete their P4 Pain Intensity Measure at a later time without losing any responses
- Set up an email template for your P4 Pain Intensity Measure and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their P4 score, diagnosis, next steps when they submit their P4 Pain Intensity Measure
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | John W | In the morning over the past 2 days | 5 | 5 | 26 |
| 3 | John W | In the afternoon over the past 2 days | 6 | 6 | 26 |
| 4 | John W | In the evening over the past 2 days | 7 | 7 | 26 |
| 5 | John W | With activity over the past 2 days? | 8 | 8 | 26 |
- Export patient responses including the calculated P4 score to Google Sheets for easy record-keeping
- Export individual points for 4 items to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their pain symptoms
- Receive a copy of the response and the calculated P4 score by email whenever a patient submits their P4 Pain Intensity Measure
- Use data in Google Sheets to integrate with external EHR systems for seamless data transfer
HIPAA compliance
| Patient ID: | 1004 |
| Patient Name: | ****** |
| Patient Email: | ****** |
| Patient Phone Number: | ****** |
| Doctor's Name: | Dr. Smith |
| Location: | New York |
| In the morning over the past 2 days: | 5 |
| In the afternoon over the past 2 days: | 6 |
| In the evening over the past 2 days: | 7 |
| With activity over the past 2 days?: | 8 |
| P4 Score: | 26 |
| P4 Score: | 26 |
- Create a HIPAA compliant P4 Pain Intensity Measure to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting P4 form responses to Google Sheets and sending them on email
- Prepopulate patient details in P4 assessments by creating secure prefill links without exposing PHI
- Limit access to patient data only for authorized personnel and minimize the risk of data breaches
These reviews are reproduced without modification from Google Workspace Marketplace.
July 27, 2023
I am 100% a fan of this company. We use HIPAA compliant Google Forms and needed a way to collect signatures, the industry standard company is TOO expensive. I started using FormEsign and it worked perfectly. It lacked the ability to provide a pdf copy of the form after signature. This company worked with me help their product evolve into something that could benefit all future clients AND the end user. The team was polite, professional, kind, enthusiastic, and willing to make a change. This earned my loyalty. I will sing their praises. Good work, and thank you!
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July 23, 2023
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February 16, 2024
Does not work
— Myles Sicuro
October 31, 2023
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July 12, 2023
It very friendly to used. I love it. For my case multiple signature needed. it's supporting
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November 27, 2023
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July 10, 2023
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