SOCRATES for pain assessment

Pain-> [text name="v0" size="10"]
Site-> [text name="v1" size="10"]
Onset-> [text name="v2" size="10"]
Character-> [text name="v3" size="10"]
Radiation-> [text name="v4 size="10"]
Associated sx-> [text name="v5" size="10"]
Timing-> [text name="v6" size="10"]
Exacerbating/Relieving factors-> [text name="v7" size="10"]
Severity-> [text name="v8" size="10"]
Pain->
Site->
Onset->
Character->
Radiation->
Associated sx->
Timing->
Exacerbating/Relieving factors->
Severity->

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0, 9 form elements, 21 boilerplate words, 9 text boxes, 9 total clicks
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