Virtual PT Eval

Organize your symptoms for your healthcare provider or AI assistant

This tool does not diagnose. It helps you describe your symptoms in clinical language.

Step 1 of 11

Where is your pain?

🧠

Cervical (Neck)

💪

Shoulder

🦾

Elbow

✋

Wrist / Hand

🫁

Thoracic (Mid-Back)

🔽

Lumbar (Low Back)

🦴

Hip / Pelvis

🦵

Knee

🦶

Ankle / Foot

Step 2 of 11

Which side?

Step 3 of 11

How would you describe the pain?

Sharp

Dull

Aching

Burning

Throbbing

Shooting

Stabbing

Cramping

Pressure

Stiffness

Weakness

Numbness/Tingling

Step 4 of 11

Rate your pain (0–10)

Resting pain

Worst pain

Best pain

Step 5 of 11

When did this start?

Today

1–3 days ago

4–7 days ago

2–4 weeks ago

1–3 months ago

3–6 months ago

6+ months ago

How did it start?

Gradual onset

Specific incident

Post-surgical

Unknown

Step 6 of 11

How does your pain behave throughout the day?

Worse in the morning

Morning stiffness (improves after 30 min)

Morning stiffness (lasts >30 min)

Worse with activity

Better with activity / movement

Worse with prolonged sitting

Worse with prolonged standing

Worse at night / disrupts sleep

Constant (doesn't change)

Intermittent (comes and goes)

Better with rest

Worse with rest

Step 7 of 11

What movements or activities make it WORSE?

Step 8 of 11

What makes it BETTER?

Rest

Movement/walking

Heat

Ice

Stretching

Massage

Pain medication (OTC)

Prescription medication

Certain positions

Sleep

Nothing helps yet

Unsure

Step 9 of 11

How is this affecting your daily life?

Sleep

Work / job duties

Driving

Exercise / sport

Household tasks

Personal care (dressing, bathing)

Social activities

Walking

Sitting for long periods

Standing for long periods

Have you tried any treatment?

Optional

Step 10 of 11

Any other symptoms?

Numbness

Tingling / pins and needles

Weakness (muscle)

Clicking / popping

Locking / giving way

Swelling

Bruising / discoloration

Headaches

Dizziness / lightheadedness

Jaw pain

Bowel or bladder changes⚠️ RED FLAG

Saddle area numbness⚠️ RED FLAG

None of the above

Step 11 of 11

Your PT Eval Summary

Copy this and paste it into your AI assistant or share with your provider.

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🤖 Open ChatGPT 🧠 Open Claude ⚡ Open Grok

This summary is for informational purposes only and does not constitute medical advice or a diagnosis. Always consult a licensed healthcare professional.