odified Oswestry Low Back Pain Disability Questionnairea This questionnaire has been designed to give your doctor information as to how your back p. in has affected your ability to manage in everyday life. …

MODIFIED BARTHEL INDEX (SHAH VERSION) : SELF CARE ASSESSMENT ... BATHING 1 3 4

PLEASE READ: This questionnaire has been designed to give your therapist information as to how your back pain has affected your ability to manage in every day life. Please answer every question by …

This questionnaire is designed to enable us to understand how much your low back pain has affected your ability to manage your everyday activities. Please answer each section by marking in each …

This questionnaire has been designed to enable us to understand how your low back pain has affected your ability to manage everyday life. Please answer every section, and mark only ONE CHOICE …

5 Modified Mini Screen (MMS) Page 2 of 2 12. In the past month, have you been bothered by thoughts, impulses, or images that you couldn’t get rid of that were unwanted, distasteful, inappropriate, …

dified Oswestry Low Back Pain Questionnaire This questionnaire is designed to enable us to understand how much you low back pain has affected yo. r ability to manage your everyday activities. Please …