Doctor Checklist
At your appointment, your doctor may ask you a number of questions in order to properly diagnose your pain. Here are some things you may want to be prepared to discuss, as well as a list of questions you might consider asking your doctor. Print this page and take it with you to your appointment.
How are you feeling?
- Level of discomfort over the last week
- How you're feeling with this particular level of pain
- The lowest and highest levels of pain you have experienced in the last day or two
- The location of your pain, and whether or not the pain radiates (appears connected) to other areas of your body
What effect is the pain having on your daily life?
- General activity. Your ability to do things you normally do
- Ability to sleep. Getting to sleep, staying asleep, and how refreshed you feel in the morning
- Enjoyment of life. The pleasure you take in your daily life
- Normal work. Including work outside the home and around the house
- Ability to walk. How well are you able to get around?
- Mood. Has pain made you irritable, angry or depressed?
- Relationships with others. How has pain affected the way you deal with other people in your life?
Questions to ask:
- Do I suffer from chronic pain?
- Is ULTRAM® ER right for me?
- Which ULTRAM® ER dosage should I take?
- How long should I take ULTRAM® ER?
- Is it okay to take ULTRAM® ER with my other medications?






