Faces Pain Scale – Revised (FPS-R)
The Faces Pain Scale – Revised (FPS-R) is a self-report measure of pain intensity developed for children.
The Faces Pain Scale – Revised  (FPS-R) is a self-report measure of pain intensity developed for children. It was adapted from the Faces Pain Scale  to make it possible to score the sensation of pain on the widely accepted 0-to-10 metric. The scale shows a close linear relationship with visual analog pain scales across the age range of 4-16 years. It is easy to administer and requires no equipment except for the photocopied faces.
The absence of smiles and tears in this scale may be advantageous. It is particularly recommended for use with very young children. Numerical self-rating scales (0-10) can be used with most children older than 8 years of age , and behavioral observation scales are required for those unable to provide a self-report.
In the following instructions, say "Hurt" or "Pain," whichever seems right for a particular child:
"These faces show how much something can hurt. This face [point to left-most face] shows no pain. The faces show more and more pain [point to each from left to right] up to this one. [point to right-most face] It shows very much pain. Point to the face that shows how much you hurt [right now]."
Score the chosen face 0, 2, 4, 6, 8, or 10, counting left to right, so "0" equals "No pain" and "10" equals "Very much pain." Do not use words like "happy" and '"sad." This scale is intended to measure how children feel inside, not how their face looks.
For clinical, educational, or research purposes, use of the FPS-R is free of charge, and permission for use is not needed, provided that the scale is not modified or altered in any way. Please download the FPS-R and instructions.
For reproduction of the FPS-R in a journal, book, or web page or for any commercial use of the scale, request permission here: FPS-R permission request. A nominal royalty payment may be required. Guidelines for captioning and reproduction of the scale will be provided with our response to the permission request.
Download the Faces Pain Scale – Revised (FPS-R)
No permission is required for clinical, educational, or research use of the FPS-R, provided that it is not modified or altered in any way.
For reproduction of the FPS-R in a journal, book, or web page, or for any commercial use of the scale, request permission here: FPS-R permission request. Any alterations, modifications, additions, or other changes to the FPS-R must be approved by IASP before permission for use will be granted. A nominal royalty payment may be required. Guidelines for captioning and reproduction of the scale will be provided with permission.
Note: The FPS-R scalable vector images and instructions are in Portable Document Format (PDF).
Click on the language below to download the FPS-R instructions as a PDF in that language. For languages not listed below, please see "How to Translate the Faces Pain Scale - Revised." You may contribute your translation to IASP for inclusion in the links below by sending (with an independent back-translation) to firstname.lastname@example.org.
* Certified translation provided courtesy of Mapi, www.mapigroup.com
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- von Baeyer CL. Numerical Rating Scale (NRS) or Verbal Numerical Scale (VNS) for self-report of pain intensity in children.
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- Tsze DS, Hirschfeld G, Dayan PS, Bulloch B, von Baeyer CL. Defining No Pain, Mild, Moderate, and Severe Pain Based on the Faces Pain Scale-Revised and Color Analog Scale in Children With Acute Pain. Pediatr Emerg Care. 2016 May 25.