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|-
| 4||Hard workout:
* Noticeable but familiar discomfortpain.
* Some tiredness.
* Some fatigue.
|-
| 5||Very hard workout or race effort:
* Discomfort hard to ignoreDistracting pain.
* Significant fatigue.
|-
* Doubts turning to fear.
* Strong feelings of inadequacy.
* Overwhelming painPain hard to ignore.
* Overwhelming exhaustion.
|-
* Nearly crying.
* Depression.
* Mild fear.
* Significant pain without expectation of lasting physical damage.
http://imgs.xkcd.com/comics/pain_rating.png
==Versions of the Ivan Scale==
* This is version is version 4 with clarification of pain levels.
* [http://fellrnr.com/mediawiki/index.php?title=The_Ivan_Scale_Of_Perceived_Suffering&oldid=905 Version 3] Provide more detail
* [http://fellrnr.com/mediawiki/index.php?title=The_Ivan_Scale_Of_Perceived_Suffering&oldid=902 Version 2] Changed scale to remove 'unable to continue' as 10, spreading out the other values
* [http://fellrnr.com/mediawiki/index.php?title=The_Ivan_Scale_Of_Perceived_Suffering&oldid=882 Version 1] The first version of the scale