Im reliant on pain medication to get through the day

My pain prevents me from getting quality sleep

My pain prevents me from lifting and carrying objects

My pain impairs my ability to sit or stand for long periods of time (i.e. longer than 10 minutes)

My pain prevents me from walking long distances (i.e. walking around grocery store)

My pain makes it difficult for me to perform my activities of daily living (i.e get dressed or bathe)

My pain impairs my ability to participate in social and recreational activities

My pain impairs my ability to work

Please fill in your name and email address to receive the results from your low back pain severity questionnaire. The results will inform you on the steps you need to take next to finally put an end to your low back pain.

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