Faces Pain Scale-Revised (FPS-R)

The Faces Pain Scale-Revised (FPS-R) uses a set of six facial expressions ranging from a neutral face (no pain) to a crying face (worst pain). The child is asked to point to the face that best represents their pain level.


Key Measures

  • Pain Intensity: 0 (No Pain) to 10 (Severe Pain)
  • Visual representation of pain
  • Best for: Younger children (ages 4-7) or those with communication difficulties

Access the FPS-R

Faces Pain Scale-Revised


Pros of using the FPS-R

Intuitive and easy for children – Does not require reading or numerical skills.

More engaging than number-based scales – Visual representation makes it easier for younger children to use.

Validated for different cultures – Used globally, reducing language barriers.

Can be used in clinical and home settings – Parents and healthcare providers can easily administer it.

Cons of using the FPS-R

Children may misinterpret expressions – Some children might associate the faces with emotions rather than pain intensity.

Not ideal for severe cognitive impairments – Children with intellectual disabilities may still struggle to use it correctly.

Limited pain detail – Only measures pain intensity, not the quality (burning, stabbing, aching, etc.).