Get Institute For Nerve Medicine Center For Advanced Spinal Neurosurgery

Completing the functional questionnaire for the Institute For Nerve Medicine Center For Advanced Spinal Neurosurgery is an important step in assessing your pain management needs. This guide provides clear, step-by-step instructions to help you accurately fill out the form online.

Follow the steps to successfully complete the questionnaire.

1. Click ‘Get Form’ button to access the functional questionnaire and open it in your online editor.
2. Begin by entering your full name in the 'Patient’s Name' field at the top of the form.
3. Input the current date in the designated 'Date' field.
4. Indicate how long you have been experiencing pain by filling in the 'Years', 'Months', and 'Weeks' fields as applicable.
5. Complete Section 1 regarding pain intensity. Review the statements and select the one box that best reflects your situation.
6. Proceed to Section 2, which covers personal care. Again, choose the single box that most accurately represents your experience.
7. Continue with Section 3 about lifting capabilities. Select the applicable option based on your ability to lift weights.
8. In Section 4, detail your walking abilities. Mark the option that best describes your walking limitations.
9. Review Section 5 that addresses sitting discomfort and indicate your level of pain while seated.
10. Fill out Section 6 about standing. Select the statement that correlates with your standing experience.
11. In Section 7 regarding sleep, indicate any impact pain has on your sleep quality.
12. For Section 8, assess your sex life in relation to your pain, marking the option that closely aligns with your experience.
13. In Section 9 on social life, identify how pain affects your social interactions.
14. Complete Section 10 regarding traveling. Mark the box that best describes your travel limitations.
15. Add any additional comments in the provided space if needed to clarify your experiences.
16. Once all sections are completed, review your responses for accuracy and clarity.
17. After confirming your entries, save changes, download the completed form, print it, or choose to share it as necessary.

Complete your functional questionnaire online today to take a proactive step in managing your health.