Patients

Thinking about the last 2 weeks tick your response to the following questions:

Disagree (0) Agree (1)
1. My back pain has spread down my leg(s) at some time in the last 2 weeks *
2. I have had pain in the shoulder or neck at some time in the last 2 weeks *
3. I have only walked short distances because of my back pain *
4. In the last 2 weeks, I have dressed more slowly than usual because of back pain *
5. It’s not really safe for a person with a condition like mine to be physically active *
6. Worrying thoughts have been going through my mind a lot of the time *
7. I feel that my back pain is terrible and it’s never going to get any better *
8. In general I have not enjoyed all the things I used to enjoy *
Not at all (0) Slightly (0) Moderately (0) Very much (1) Extremely (1)
9. Overall, how bothersome has your back pain been in the last 2 weeks? *

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