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  • The Fibromyalgia Oswestry Pain Questionnaire

Get The Fibromyalgia Oswestry Pain Questionnaire

THE FIBROMYALGIA OSWESTRY PAIN QUESTIONNAIRE Please Read: This questionnaire is designed to enable us to understand how much your pain has affected your ability to manage your everyday activities.

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How to fill out the THE FIBROMYALGIA OSWESTRY PAIN QUESTIONNAIRE online

The Fibromyalgia Oswestry Pain Questionnaire is a vital tool designed to help healthcare providers understand how pain affects your daily activities. This guide will walk you through the process of completing the questionnaire online, ensuring you provide the most accurate information about your experiences.

Follow the steps to complete the questionnaire efficiently.

  1. Press the ‘Get Form’ button to access the questionnaire and open it in your preferred online environment.
  2. Begin by entering your name and the date at the top of the form. This information is essential for identifying your responses.
  3. Proceed to Section 1—Pain Intensity. Read each statement carefully and circle the one choice that best describes your current pain levels.
  4. Move to Section 2—Fatigue. Again, review the options provided and circle the statement that most accurately reflects your experience with fatigue.
  5. Continue to Section 3—Personal Care. As you did in previous sections, circle the choice that represents your situation regarding personal care tasks.
  6. Advance to Section 4—Lifting. Circle the option that describes your ability to lift weights, considering your current pain levels.
  7. In Section 5—Walking, select the statement that corresponds to how pain impacts your walking ability.
  8. For Section 6—Sitting, identify the option that best illustrates your experience with sitting and pain.
  9. Proceed to Section 7—Standing. Circle the statement that describes how pain affects your ability to stand.
  10. Next, fill out Section 8—Sleeping. Choose the statement that aligns with your sleeping patterns in relation to pain.
  11. In Section 9—Gastro-Intestinal, indicate any issues you may have regarding your digestive health.
  12. For Section 10—Social Life, reflect on how pain has impacted your social engagements and select the applicable option.
  13. Move to Section 11—Traveling. Circle the choice that characterizes your experiences with traveling and pain.
  14. In Section 12—Changing Degree of Pain, assess and circle the statement that best describes how your pain has changed over time.
  15. Finally, in Section 13—Changing Degree of Fatigue, indicate how your fatigue has changed recently.
  16. Once you have filled out all sections, review your answers for accuracy before saving changes, downloading, printing, or sharing the completed form.

Complete your questionnaire online to support your health and wellness journey.

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pain disability questionnaire: Topics by...
Fritz et al (2001) developed a modified version of the Oswestry Disability Questionnaire...
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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 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.

SCORE DISABILITY LEVEL 0 - 4 No disability 5 - 14 Mild disability 15 - 24 Moderate disability 25 - 34 Severe disability 35 - 50 Completely disabled The Oswestry Disability Index (aka the Oswestry Low Back Pain Disability Questionnaire) is an ex- tremely important tool that researchers and disability evaluators use to ...

The Roland-Morris Disability Questionnaire (RMDQ) is a measure of disability where greater levels of disability are reflected by higher numbers on a 24-point scale. The original version of the RMDQ was published in 19831,2.

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 RMDQ is scored by adding up the number of items the patient checks. The score can range from 0 to 24 on the original version, but there are also versions with 18 or 21 possible points.

Each section is scored on a 0–5 scale, 5 representing the greatest disability. The index is calculated by dividing the summed score by the total possible score, which is then multiplied by 100 and expressed as a percentage. Thus, for every question not answered, the denominator is reduced by 5.

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.

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© 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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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