We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Low Back Pain Questionnaire

Get Low Back Pain Questionnaire

MODIFIED OSWESTRY DISABILITY SCALE INITIAL VISIT PATIENT NAME: ID#: DATE: Description: This survey is meant to help us obtain information from our patients regarding their current levels of discomfort.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

Tips on how to fill out, edit and sign Low Back Pain Questionnaire online

How to fill out and sign Low Back Pain Questionnaire online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Are you still seeking a fast and convenient solution to complete Low Back Pain Questionnaire at a reasonable price? Our service provides you with a wide selection of templates that are available for submitting on the internet. It only takes a couple of minutes.

Follow these simple steps to get Low Back Pain Questionnaire ready for submitting:

  1. Get the form you will need in the collection of legal templates.
  2. Open the template in our online editor.
  3. Go through the recommendations to determine which details you will need to give.
  4. Click on the fillable fields and include the required data.
  5. Add the date and insert your electronic autograph after you complete all of the fields.
  6. Look at the form for misprints as well as other mistakes. If there?s a necessity to correct some information, the online editor as well as its wide range of tools are ready for your use.
  7. Save the resulting form to your computer by clicking on Done.
  8. Send the electronic form to the intended recipient.

Submitting Low Back Pain Questionnaire doesn?t really have to be stressful anymore. From now on comfortably cope with it from your apartment or at your place of work right from your smartphone or personal computer.

How to edit Low Back Pain Questionnaire: customize forms online

Forget an old-fashioned paper-based way of completing Low Back Pain Questionnaire. Have the document filled out and signed in minutes with our top-notch online editor.

Are you forced to revise and fill out Low Back Pain Questionnaire? With a professional editor like ours, you can perform this task in only minutes without having to print and scan papers back and forth. We provide you with completely editable and simple document templates that will serve as a starting point and help you complete the necessary form online.

All forms, by default, come with fillable fields you can complete as soon as you open the document. However, if you need to improve the existing content of the form or add a new one, you can select from a variety of editing and annotation options. Highlight, blackout, and comment on the document; add checkmarks, lines, text boxes, graphics and notes, and comments. Additionally, you can easily certify the document with a legally-binding signature. The completed form can be shared with others, stored, imported to external apps, or converted into any other format.

You’ll never make a wrong decision choosing our web-based solution to complete Low Back Pain Questionnaire because it's:

  • Easy to set up and utilize, even for those who haven’t completed the paperwork electronically in the past.
  • Robust enough to accommodate various editing needs and document types.
  • Safe and secure, making your editing experience protected every time.
  • Available for various devices, making it effortless to complete the document from anyplace.
  • Capable of creating forms based on ready-drafted templates.
  • Compatible with various document formats: PDF, DOC, DOCX, PPT and JPEG etc.

Don't spend time completing your Low Back Pain Questionnaire obsolete way - with pen and paper. Use our full-featured solution instead. It provides you with a versatile set of editing options, built-in eSignature capabilities, and convenience. What makes it differ from similar alternatives is the team collaboration options - you can work together on documents with anyone, build a well-organized document approval workflow from the ground up, and a lot more. Try our online tool and get the best bang for your buck!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Oswestry Disability Index
The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability...
Learn more
Oswestry Disability Index
Oswestry Low Back Pain Disability Questionnaire. Sources: ... If all 10 sections are...
Learn more
Low back pain
Low back pain is neither a disease nor a diagnostic entity of any sort. The term...
Learn more

Related links form

Commercial Forced Air Heating Permit Application Contractor Application / File Study EXPERIMENTAL STREAM PRODUCTION BETA VERSION ELIGIBILITY CERTIFICATE Project Title: Applicant How Can A New Non-Profit Organization ... - Companies Office

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

The Oswestry Low Back Pain Questionnaire.” For each question, there is a possible 5 points; 0 for the first answer, 1 for the second answer, etc. Add up the total for the 10 questions and rate them on the scale at right.

The Modified Low Back Pain Disability Questionnaire (MLBPDQ) is used for evaluating the functional disability in patients with low back pain (LBP).

The sum of the seven items equals the total score of the PDI, which ranges from 0 to 70, with higher scores reflecting higher interference of pain with daily activities. The PDI measures family / home responsibilities, recreation, social activity, occupation, sexual behavior, self-care and life support activity [3].

The RMQ is a 24-item patient-reported outcome measure that inquires about pain-related disability resulting from LBP. Items are scored 0 if left blank or 1 if endorsed, for a total RMQ score ranging from 0 to 24; higher scores represent higher levels of pain-related disability.

A score of 0-20 reflects minimal disability, 21-40 moderate disability, 41-60 severe disability, 61-80 crippled, and 81-100 bed-bound. Minimal clinical difference has been evaluated across numerous types of spinal surgery, and has been shown to vary significantly.

Each question is scored from 0-5 (minimum to maximum). 2. The point total from each section is summed and the then divided by the total number of questions answered and multiplied by 100 to create a percentage disability. The scores range from 0-100% with lower scores meaning less disability.

The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The test is considered the 'gold standard' of low back functional outcome tools [1].

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Low Back Pain Questionnaire
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232