Örebro Musculoskeletal Pain Questionnaire (ÖMPQ)

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Welcome

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12Questions

1
Name* This field is required.Please fill in your name
First Name
Last Name
2
Date
Date
Day
Month
Year
3
Q 1 / 10 How long have you had your current pain problems?* This field is required.Select one.
0-1 week
1-2 weeks
3-4 weeks
4-5 weeks
6-8 weeks
9-11 weeks
3-6 months
6-9 months
9-12 months
Over 1 year
4
Q 2 / 10 How would you rate the pain that you have had during the past week?* This field is required.0 = No pain, and 10 = Pain as bad as it could be
0
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Q 3 / 10 I can do light work (or home duties) for an hour.* This field is required.0 = Not at all 10 = Without any difficulty
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Q 4 / 10 I can sleep at night.* This field is required.0 = No at all 10 = Without any difficulty
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Q 5 / 10 How tense or anxious have you felt in the past week?* This field is required.0 = Absolutely calm and relaxed 10 = As tense anxious I've ever felt
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Q 6 / 10 How much have you been bothered by feeling depressed in the past week?* This field is required.0 = Not at all 10 = Extremely
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Q 7 / 10 In your view, how large is the risk that your current pain may become persistent?* This field is required.0 = No risk 10 = Very large risk
0
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Q 8 / 10 In your estimation, what are the chances you will be working your normal duties (at home or work)* This field is required.0 = No chance 10 = Very large chance
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Q 9 / 10 An increase in pain is an indication that I should stop what I’m doing until the pain decreases.* This field is required.0 = Completely disagree 10 = Completely agree
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Q 10 / 10 I should not do my normal work (at work or home duties) with my present pain.* This field is required.0 = Completely disagree 10 = Completely agree
0
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Total Score
Should be Empty:

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