There’s some attempt to try and make it genuine, and there are guidelines around it to support that (e.g. 1 = barely noticeable, 3,4 = distracting, 5,6 = unignorable, 7,8 = prevents normal activities, 9 = prevents conversation)
But in practice you’re going to get about one in every dozen patients who engages with this scale in good faith and you’re going to get a number between 8-11 from everyone else.












Fuck that, when I bought Chrono Trigger for the SNES, I owned that game. I still own that game. Nintendo has not broken into my home to rescind my license to a physical cartridge that I purchased.