source Mankoski Pain Scale
| 0 | No pain. Feeling perfectly normal. | |
| 
Minor Able to adapt to pain  | 
1 Very Mild  | 
Very light barely noticeable pain, occasional twinges, no medication needed. | 
| 
2 Discomforting  | 
Minor pain, like pinching a fold of skin, occasional strong twinges, no medication needed. | |
| 
3 Tolerable  | 
Very noticeable pain, annoying enough to be distracting, over the counter (OTC) medication needed. | |
| 
Moderate Interferes with many activities  | 
4 Distressing  | 
Strong deep pain, like an average toothache, can be ignored if one is very focused on a task. OTC pain reliever may be necessary. | 
| 
5 Very Distressing  | 
Strong deep piercing pain, cannot be ignored for more than 30 minutes. OTC pain reliever may reduce pain for 3 to 4 hours. | |
| 
6 Intense  | 
Strong deep piercing pain cannot be ignored however one may be able to work or attend social events. Narcotic pain relievers (Codeine, Vicodin) may be effective every 3 to 4 hours. | |
| 
Severe Patient is disabled and unable to function independently  | 
7 Very intense  | 
It is difficult to concentrate or sleep; can still function with effort. Stronger narcotic pain relievers are only partially effective. Stronger pain relievers relieve pain (Oxycontin, Morphine). | 
| 
8 Utterly Horrible  | 
Physical activity severely limited; can read and converse with effort. Nausea and dizziness set in as factors of pain. Stronger pain relievers are minimally effective. Stronger pain relievers reduce pain for 3 to 4 hours. | |
| 
9 Excruciating, unbearable  | 
Unable to speak. Crying and moaning uncontrollably - near delirium. Strongest pain relievers only partially effective. | |
| 
10 Unimaginably unbearable  | 
Unconscious; pain causes passing out. Strongest pain relievers only partially effective. |