1. How long have you had your current pain problem?
0-1 weeks
2. How would you rate the pain that you have had during the past week?
0 No pain
3. I can do light work for an hour.
10 Can do it without pain
4. I can sleep at night
10 Can do it without pain
5. How tense or anxious have you felt in the past week?
0 Absolutely calm and relaxed
6. How much have you been bothered by feeling depressed in the past week?
0 Not at all
7. In your view, how large is the risk that your current pain may become persistent?
0 No risk
8. In your estimation, what are the chances you will be working your normal duties in 3 months?
10 Very large chance
9. An increase in pain is an indication that I should stop what I'm doing until the pain decreases?
0 Completely disagree
10. I should not do my normal work with my present pain.
0 Completely disagree
Örebro Musculoskeletal Pain Screening
Instructions: Please complete the below questions.
1. How long have you had your current pain problem?
2. How would you rate the pain that you have had during the past week?
3. I can do light work for an hour.
4. I can sleep at night
5. How tense or anxious have you felt in the past week?
6. How much have you been bothered by feeling depressed in the past week?
7. In your view, how large is the risk that your current pain may become persistent?
8. In your estimation, what are the chances you will be working your normal duties in 3 months?
Important
Here are some of the things which other people have told us about their pain. For each statement, choose one number to say how much physical activities, such as bending, lifting, walking, or driving affect your pain.
9. An increase in pain is an indication that I should stop what I'm doing until the pain decreases?
10. I should not do my normal work with my present pain.