Subjective Opiate Withdrawal Scale (SOWS)


Metamorphosis LTD

 

 

NAME:

DOB:    

Each item is rated on a point scale

0 = none   1 = a little       2 = moderately   3 = quite a bit   4 = extremely

SOWS Items                                                                                                    

I feel anxious

 

I feel like yawning

 

 I am sweating

 

 My eyes are tearing

 

 My nose is running

 

 I have gooseflesh

 

 I am shaking

 

 I have hot flashes

 

 I have cold flashes

 

 My bones and muscles ache

 

 I feel restless

 

 I feel nauseous

 

 I feel like vomiting

 

 My muscles twitch

 

I have cramps in my stomach

 

 I feel like “using” now

 

Please add your score and select the corresponding level

 

Total   

Leave this empty:

Metamorphosis Pain Management https://www.metamorphosispain.com
Signature Certificate
Document name: Subjective Opiate Withdrawal Scale (SOWS)
Unique Document ID: 6455e9e2ed3b281bde8249c5ffc47d9fae9162bd
Timestamp Audit
2017-05-13 12:01:39 MDTSubjective Opiate Withdrawal Scale (SOWS) Uploaded by Lisa Pearson - lisa@metamorphosispain.com IP 208.117.75.130