Örebro Musculoskeletal Pain Questionnaire (ÖMPQ)

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Information from this questionnaire helps us understand your problem better, and it especially helps us evaluate the possible long-term consequences your pain may have. It is important that you read each question carefully and answer it as best you can. There are no right or wrong answers. Please answer every question. If you have difficulty, select the answer that best describes your situation.
Full Name*
DD slash MM slash YYYY
DD slash MM slash YYYY
DD slash MM slash YYYY
Gender / Identity
Were you born in Australia?
These questions and statements apply if you have aches or pains, such as back, shoulder or neck pain. Please read and answer questions carefully. Do not take long to answer the questions, however it is important that you answer every question. There is always a response for your particular situation.
Where do you have pain?*
Please select all appropriate sites.
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How many days of work have you missed because of pain during the past 18 months?*
Please select one
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How long have you had your current pain problem?*
Please select one
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0 = "Not At All", 10 = "Extremely"
0 = "No Pain", 10 = "Pain as bad as it could be"
0 = "No Pain", 10 = "Pain as bad as it could be"
0 = "Never", 10 = "Always"
0 = "Can’t decrease it at all", 10 = "Can decrease it completely"
0 = "Absolutely clam and relaxed", 10 = "As tense and anxious as I’ve ever felt"
0 = "Not at all", 10 = "Extremely"
0 = "No risk", 10 = "Very large risk"
0 = "No chance", 10 = "Very large chance"
0 = "Not satisfied at all", 10 = "Completely satisfied"
Here are some of the things that other people have told us about their pain. For each statement, select a number from 0 to 10 to say how much physical activities, such as bending, lifting, walking or driving, would affect your pain.
0 = "Completely disagree", 10 = "Completely agree"
0 = "Completely disagree", 10 = "Completely agree"
0 = "Completely disagree", 10 = "Completely agree"
Here is a list of five activities. select the number that best describes your current ability to participate in each of these activities.
0 = "Can’t do it because of pain problem", 10 = "Can do it without pain being a problem"
0 = "Can’t do it because of pain problem", 10 = "Can do it without pain being a problem"
0 = "Can’t do it because of pain problem", 10 = "Can do it without pain being a problem"
0 = "Can’t do it because of pain problem", 10 = "Can do it without pain being a problem"
0 = "Can’t do it because of pain problem", 10 = "Can do it without pain being a problem"
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