Transcription of Keele STarT Back Screening Tool - fvfiles.com
{{id}} {{{paragraph}}}
Example: biology
Keele STarT Back Screening Tool - fvfiles.com
Keele STarT back Screening tool Patient name: _____ Date/Time _____/_____Thinking about the last 2 weeks, check off your response to the following questions:Disagree (0)Agree (1)1. My back pain has spread down my leg(s) at some time in the last two weeks. 2. I have had pain in the shoulder or neck at some time in the last two weeks. 3. I have only walked short distances because of my back pain. 4. I have dressed more slowly than usual because of back pain. 5. It s not really safe for a person with my condition to be physically active. 6. Worrying thoughts have been going through my mind a lot of the time.
Pain Scale Please rate your pain on a scale of 0 to 10, where 0 means “no pain” and 10 means “severe pain” (so severe that you couldn’t live with it for more than a few minutes).
Loading..
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document:
Related search queries
Newborn and infant hearing screening, Newborn and infant . hearing screening, Kansas, Hearing screening, Hearing Screening Coding Fact Sheet for, Hearing Handicap Inventory Screening Questionnaire for, MEDICAID REIMBURSEMENT OF HEARING SERVICES FOR, SOUND FIELD SCREENING, MR) PROCEDURE SCREENING, Children’s Rehabilitation Service (CRS) Office Locations