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picture1_Neck Pain Q


 84x       Filetype PDF       File size 0.98 MB       Source: www.newberlinchiro-therapy.com


File: Neck Pain Q
NECKPAINDISABILITYINDEXQUESTIONNAIRE NAME(PleasePrint): ________________________ DATE: __________ AGE:_____ DATEOFBIRTH:_______ OCCUPATION:___________ HOWLONGHAVEYOUHADNECKPAIN? ___YEARS ___MONTHS ___WEEKS IS THIS YOURFIRSTEPISODEOFNECK PAIN? ___YES ___NO USETHELETTERSBELOWTOINDICATETHETYPE ANDLOCATIONOFYOURSENSATIONSRIGHTNOW (Please remember to complete both sides of this form.) ...

icon picture PDF Filetype PDF | Posted on 02 Mar 2023 | 2 years ago
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...Neckpaindisabilityindexquestionnaire name pleaseprint date age dateofbirth occupation howlonghaveyouhadneckpain years months weeks is this yourfirstepisodeofneck pain yes no usethelettersbelowtoindicatethetype andlocationofyoursensationsrightnow please remember to complete both sides of form key a ache b burning n numbness p pins needles s stabbing o other revisedoswestryneckpaindisabilityquestionnaire pleaseread thisquestionnaireisdesignedtohelpusunderstandhowmuchyourbackpainhasaffectedyourability manageyoureverydayactivities answereachsectionby circlingthe onechoicethatmostappliestoyou we realize that you may feel more than one statement relate but just circle the choice whichmostcloselydescribesyourproblemrightnow section painintensity standing thepaincomesandgoesandisverymild icanstandaslongasiwantwithoutpain thepainismildanddoesnotvarymuch ihavesomepainwhilestanding butitdoesnotincreasewithtime c thepaincomesandgoesandismoderate icannotstandforlongerthanonehourwithoutincreasingpai...
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