Tingling

Tingling - a two-item patient-reported measure of upper and lower body tingling, which could feel like a pins and needles sensation

Instructions:

Move each slider to indicate any tingling you are currently experiencing. The left side (0) represents no tingling, and the right side (10) represents the worst tingling imaginable.

Upper body tingling

Current tingling

How would you rate tingling in your upper body?

No tingling

Worst tingling imaginable

Comments

Please provide any additional details about your tingling.

Lower body tingling

Current tingling

How would you rate tingling in your lower body?

No tingling

Worst tingling imaginable

Patient Watch Form - 6/16/2026