OPTIONAL DESCRIPTION OF ONE MOMENT
EVENT / PERIOD AND WHEN RECORDED:
FEELING WORD OR OWN PHRASE, IF USEFUL:
INTENSITY WORDING, OR NOT RECORDED:
IF A PERSONAL NUMBER IS USED: RANGE / LABELS / QUESTION / TIME
CONTEXT / OPTIONAL CUE:
ACTION ACTUALLY TAKEN:
QUESTION STILL UNKNOWN:
POSSIBLE NEXT CHOICE / NO CHANGE / STOP:
KEEP / DISCARD / NO RECORD:
No intensity value here is a diagnosis, severity or risk threshold.