Opiate Withdrawal (SOWS)
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We want to know how you’re feeling. Please answer the following 16 questions with a number from 0-4 about how you feel about each symptom RIGHT NOW.
I feel anxious
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Please select
Not at all
A little
Moderately
Quite a bit
Extremely
I feel like yawning
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Please select
Not at all
A little
Moderately
Quite a bit
Extremely
I am perspiring (sweating)
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Please select
Not at all
A little
Moderately
Quite a bit
Extremely
My eyes are tearing
*
Please select
Not at all
A little
Moderately
Quite a bit
Extremely
My nose is running
*
Please select
Not at all
A little
Moderately
Quite a bit
Extremely
I have goosebumps
*
Please select
Not at all
A little
Moderately
Quite a bit
Extremely
I am shaking
*
Please select
Not at all
A little
Moderately
Quite a bit
Extremely
I have hot flashes
*
Please select
Not at all
A little
Moderately
Quite a bit
Extremely
I have cold flushes
*
Please select
Not at all
A little
Moderately
Quite a bit
Extremely
My bones and muscles ache
*
Please select
Not at all
A little
Moderately
Quite a bit
Extremely
I feel restless
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Please select
Not at all
A little
Moderately
Quite a bit
Extremely
I feel nauseous
*
Please select
Not at all
A little
Moderately
Quite a bit
Extremely
I feel like vomiting
*
Please select
Not at all
A little
Moderately
Quite a bit
Extremely
My muscles twitch
*
Please select
Not at all
A little
Moderately
Quite a bit
Extremely
I have stomach cramps
*
Please select
Not at all
A little
Moderately
Quite a bit
Extremely
I feel like using now
*
Please select
Not at all
A little
Moderately
Quite a bit
Extremely
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