Pain scales are widely used in healthcare settings for patients to indicate their pain levels. There are various types of pain scales, but today we’re mainly focusing on the categorical scale that uses smiley faces or emojis. In addition to being extremely useful in the healthcare field for evaluating pain in children, emojis are also used in a variety of surveys. Let’s look at the different types of rating scales and how they can benefit you both within and outside of healthcare.

In 1983, Donna Wong and Connie Baker invented the Wong-Baker FACES® Pain Rating Scale to help children communicate about their pain with healthcare professionals. This was the first picture-based pain scale, using six simply drawn faces to represent varying pain levels. This was found to be extremely helpful in interpreting pain levels in children who do not have the verbal skills to explain how they feel. 

Today, numerous variations of this scale are used in medical assessments as well as in situations beyond the healthcare setting to determine levels of satisfaction or service.

Across the globe, people of all ages tend to interpret facial expressions in similar ways. Using smiley faces takes a large amount of information and condenses it into a single emoji. It’s often easier to choose a facial expression that represents your feelings about something than to rate it on a numerical scale or choose between multiple options. For example, it’s easier to choose a face that represents your feelings about something than it is to work out whether to rate something a five or six on a scale of seven.

Colours are another factor in some emoji surveys. While black and white imagery may be adequate for expressing opinions, colour makes the choices more dynamic. Choosing colours should be well thought out. Many colours have different meanings in different cultures and locations. 

The one group of colours that most people are familiar with is the red, amber and green of traffic lights. Red would represent the most negative answer, amber the middle and green the most positive option.

In addition to adding colour, you may also factor in the intensity of each colour in relation to the intensity of the feeling or emotion.

There are innumerable variations that are similar to the Wong-Baker FACES® scale: some use very simple emojis with only eyes, eyebrows and mouths; some add more facial features and tears; and some combine the faces with colours. 

Although the typical pain scale is used in healthcare, it can be adapted for use to assess satisfaction, service and other conditions outside of the pain realm.

Rating systems using smiley faces, emojis and pain scales are all based on the same premise: to use visual imagery to represent a feeling. 

There are several advantages associated with using this type of scale:

In the event that you are using a visual scale in a healthcare setting, you can feel confident knowing that SurveyMonkey offers HIPAA-compliant features to safeguard protected health information collected online. Visit our healthcare survey centre for information about using surveys to assess patient satisfaction, patient safety culture, routine dental care, women’s and men’s healthcare issues and more. Elevate your patients’ experiences with our healthcare survey solutions.

There are two categories and several types of pain scales. We’ll look at them in more detail so that you can gain a better understanding of each one.

This type of pain scale provides a simple way for individuals to rate the intensity of their pain. The scales use text, images or descriptors to measure pain or pain relief.

The most commonly used method to measure pain is the 0–10 numeric rating scale. The patient is asked to rate their pain, with zero meaning no pain and 10 the worst pain they could experience. You may have used this type of interval scale to evaluate customer satisfaction or in another context.

Rather than using numbers, a VAS uses a 10 cm line. The beginning of the line is no pain and the end is the worst possible pain. If the survey is done on paper, patients are asked to mark the spot indicating the intensity of their pain. If the scale is presented online, it would be a slider question, where you could move the slider to the desired place on the scale line.

Similar to the NRS, this scale uses a line with delineations indicating pain intensity with verbal or visual pain descriptors, such as mild pain or very severe pain. They may also use a star rating to rate their pain. For children, images of smiley faces with various facial expressions are used to indicate pain levels.

These tools are not used as frequently for pain assessment. Some experts say that they are valuable and underused.

This tool collects information about pain when a patient presents with it for the first time. It gives a more thorough picture of the characteristics of the pain. It is usually accompanied by a diagram of the body so that patients can indicate the location of their pain. Questions about pain onset, duration, effects on lifestyle and more are included.

The BPI is similar to the initial pain assessment tool, but it is used to assess and address pain felt over the previous 24 hours.

The MPQ is very commonly used in pain assessment. It is used to evaluate pain based on how the patient describes it, for example, throbbing, flickering, shooting, etc.

There are several instances in which you might use a pain scale or an emoji rating scale for assessment. 

Here are some examples of using these valuable tools:

Throughout our discussion of pain scales – both emoji rating scales and other types of rating scales – we’ve talked about their use in healthcare, particularly for evaluating and moderating pain in patients. Pain scales help medical providers understand the pain levels, qualities and effects experienced by their patients. They also help doctors make diagnoses, formulate treatment plans and measure the effectiveness of a particular treatment.

In healthcare, they may use any of the pain scales that we discussed, including the emoji pain scale, to assess pain in children. The Initial Pain Assessment, BPI and MPQ are explicitly used for measuring pain. 

Our healthcare solutions can help elevate patient experiences, strengthen your facility’s reputation and promote employee wellbeing. 

It may seem strange to consider smiley face pain scales being used to evaluate customer satisfaction rather than just to assess patient pain, but they are indeed. Send your customers a survey using this unique scale. Instead of each face indicating a pain level, each one indicates your customers’ level of satisfaction in terms of their experiences with your company. 

In addition to an emoji categorical scale, you could use any of the other unidimensional pain scales. A numerical rating scale can measure levels of satisfaction using numerical values. And a visual analogue scale with a slider can also indicate how your customers feel.

Your customers will appreciate how quickly they can respond to these surveys, so it’s more likely that they will take it. And you’ll end up with quantifiable results to help turn feedback into loyalty. 

Similar to customer satisfaction surveys, employee satisfaction surveys can measure how your employees feel about your business. Use any of the unidimensional scales to obtain quantitative data related to employee morale, satisfaction, engagement and benefits, etc.

Customer service surveys are critical for assessing how your team interacts with customers. A report from Microsoft indicates that 92% of consumers in the UK use customer service to decide whether or not to do business with a company. And 58% of consumers in the UK will switch companies because of poor customer service. 

Make sure your customer service is excellent by sending an emoji survey to your customers. The emojis make the survey fun and easy while providing you with actionable insights. The results will help you identify areas for improvement, areas for further training and individuals who need mentoring.

So you’re ready to send out a survey using a pain scale. Use these tips to ensure that your respondents provide you with clear, actionable data.

From evaluating patients to employees to customers, pain scale surveys are a valuable addition to your toolkit. Get started with your first survey now with SurveyMonkey.