| Question | Answer | |||
|---|---|---|---|---|
| Gender | □ Female | □ Male | ||
| Age (years) | ||||
| Pain location | □ Cervical | □ Chest | □ Back | □ Limbs |
| Pain origin | □ Inflammation | □ Autoimmune disease | ||
| □ Osteoarthritis | □ Trauma | |||
| □ Others | □ Herniated disc | |||
| Number of EA sessions | ||||
| Analgesic effect onset following EA (hours) | □ 0 | □ 0–0.5 | □ 0.5–1 | |
| □ 1–2 | □ >2 | |||
| Duration of the EA analgesic effect (hours) | □ 0–6 | □ 6–12 | □ 12–24 | |
| □ 24–48 | □ 48–72 | □ >72 | ||
| Alterations in EA analgesic effect up to now | □ Increase | □ Unchanged | □ Decrease | |
| Concurrent treatment | □ NSAID and/or acetaminophen | |||
| □ NSAID and/or acetaminophen and herbal decoctions | ||||
| □ None | ||||
| Adverse effect | □ Swelling | □ Skin irritation | □ Dizziness | □ Fatigue |