web analytics

Evaluation

Are you evaluating a patient with back pain?

Select the appropriate answer for each finding

Any of your usual work, housework or school activities

Usual hobbies, recreational or sporting activities

Performing heavy activities around the home

Bending or stooping

Putting shoes and socks on

Lifting a box of groceries from the floor

Sleeping

Standing for 1 hour

Walking 1 mile

Going up or down 2 flights of stairs

Sitting for 1 hour

Driving for 1 hour

Results

Please fill out required fields.