Subjective opioid withdrawal scale

From IDWiki

Criteria

Item Symptom Not at all A little Moderately Quite a bit Extremely
1 I feel anxious 0 1 2 3 4
2 I feel like yawning 0 1 2 3 4
3 I am perspiring 0 1 2 3 4
4 My eyes are teary 0 1 2 3 4
5 My nose is running 0 1 2 3 4
6 I have goosebumps 0 1 2 3 4
7 I am shaking 0 1 2 3 4
8 I have hot flushes 0 1 2 3 4
9 I have cold flushes 0 1 2 3 4
10 My bones and muscles ache 0 1 2 3 4
11 I feel restless 0 1 2 3 4
12 I feel nauseous 0 1 2 3 4
13 I feel like vomiting 0 1 2 3 4
14 My muscles twitch 0 1 2 3 4
15 I have stomach cramps 0 1 2 3 4
16 I feel like using now 0 1 2 3 4