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Body Pain Chart: How Do You Feel?

drawing of a human figure composed of various parts, labeled

Directions:

Using the picture on the right, mark any pain you feel when you work on a computer terminal.

Study each part of the body and mark with an "X" or "Y." If there is no pain, leave the body part blank.

How do you feel?

X = Pain often

Y = Pain sometimes

Blank = No pain

Additional health concerns comment section:

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Last Update Date: 8/22/03

Reproduced with permission from NYS Workers' Compensation Board


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Updated: May 17, 2011