Template:DN4

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DN4 - Questionnaire
INTERVIEW OF THE PATIENT
QUESTION 1
Does the pain have one or more of the following characteristics? Yes No
Burning
Painful cold
Electric shocks
QUESTION 2
Is the pain associated with one or more of the following symptoms in the same area? Yes No
Tingling
Pins and needles
Numbness
Itching
Probability Negative (0)