PI - Oswestry Low Back Pain Scale

Oswestry Low Back Pain Questionnaire

This questionnaire is designed to enable us to understand how much your low back pain has affected your ability to manage everyday activities. Please answer each Section by circling the ONE CHOICE that most applies to you. We realize that you may feel that more than one statement may relate to you, but please just click the one choice which closely describes your problem right now.

Section 1: Pain Intensity*
Please select at least one option
SECTION 2--Personal Care (Washing, Dressing etc.)*
Please select at least one option
SECTION 3--Lifting*
Please select at least one option
SECTION 4 --Walking*
Please select at least one option
SECTION 5--Sitting*
Please select at least one option
SECTION 6 -- Standing*
Please select at least one option
SECTION 7--Sleeping*
Please select at least one option
SECTION 8--Social Life*
Please select at least one option
SECTION 9--Traveling*
Please select at least one option
SECTION 10--Changing Degree of Pain*
Please select at least one option

Thank you for taking the time to fill out this form.

Location

Find us on the map

OFFICE HOURS AND LOCATIONS

Our Regular Schedule

Monday

8am - 11am

3pm - 6pm

Tuesday

8am - 11am

2pm - 5pm

Wednesday

Closed

3pm - 6:30pm

Thursday

By Appointment Only

Friday

8am - 12pm

Saturday

By Appointment Only

Sunday

Closed

Closed

Monday
8am - 11am 3pm - 6pm
Tuesday
8am - 11am 2pm - 5pm
Wednesday
Closed 3pm - 6:30pm
Thursday
By Appointment Only
Friday
8am - 12pm
Saturday
By Appointment Only
Sunday
Closed Closed