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  • Pa Grice Chiropractic Functional Rating Index

Get Pa Grice Chiropractic Functional Rating Index

Manage everyday activities. For each item, please circle the number which most closely describes your condition right now. 1. Pain Intensity 0---------------1---------------2--------------3---------------4 No pain Mild pain Moderate pain Severe pain 6. Recreation 0---------------1---------------2---------------3---------------4 Worst possible pain Can do all activities 2. Sleeping 0---------------1---------------2--------------3---------------4 Perfect sleep Mildly disturbed sleep Mode.

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How to fill out the PA Grice Chiropractic Functional Rating Index online

The PA Grice Chiropractic Functional Rating Index is designed to assess how neck and back problems affect daily activities. This guide provides clear instructions on completing the form online, ensuring accurate self-assessment.

Follow the steps to successfully complete the form online.

  1. Click ‘Get Form’ button to access the PA Grice Chiropractic Functional Rating Index and open it in your preferred editing tool.
  2. Begin by entering your personal information in the designated fields. This includes your full name, date of birth, and any relevant identification numbers.
  3. Carefully read each question regarding your condition. For each item listed (e.g., pain intensity, sleep disturbances), circle the number that accurately reflects your current state. Take your time to assess how each aspect affects your daily life.
  4. If applicable, fill out the additional questions regarding your work and recreational activities. These sections help provide further insight into how your condition impacts various aspects of your routine.
  5. Once you have completed the main sections of the form, review your responses for accuracy. It's important that the information you provide is correct to ensure optimal care from your healthcare provider.
  6. After verifying your entries, save the changes to your document. You may choose to download a copy, print it out, or share it directly if needed.

Complete your forms online today to streamline your chiropractic care process.

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The Functional Rating Index is a self-reporting instrument consisting of 10 items, each with 5 possible responses that express graduating degrees of disability.

The scale contains 10 questions measuring both pain and function in a five-point scale from 0 (no pain/full function) to 4 (worst possible pain/unable to perform function). Total score calculated in percentage range between 0% and 100%, with higher scores indicating higher disability.

The Functional Rating Index (FRI) is a patient-reported questionnaire developed to evaluate the patients' perspectives on their pain and functional status in patients with low back pain (LBP) as well as NP[7].

The four levels of disability based upon quartile reference points corresponded to the following total FDI scores: No/Minimal (0-12), Mild (13-20), Moderate (21-29) and Severe (≥30).

The Functional Status Index defines function as including 3 distinct but related dimensions: the degree of dependence, the degree of difficulty and the amount of pain experienced in performing specific activities of daily living.

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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
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