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    ÖMSQ-12

    The ÖMSQ is a questionnaire regarding pain, perception of daily living activities and work, and behaviour that occurs in response to pain, beliefs and attitudes.

    1. How long have you had your current pain problem.

    0 - 1 weeks1 - 2 weeks3 - 4 weeks4 - 5 weeks6 - 8 weeks9 - 11 weeks3 - 6 months6 - 9 months9 - 12 monthsOver 1 year

    2. Rate how much of a burden it is to perform all the things you need to do in a normal day.

    Not at all

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    Extremely

    3. For the last 2-3 days, rate on average how bothersome your pain or problem is.

    Not at all

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    Extremely

    4. For the last 2-3 days, what percentage of the day do you notice your pain or problem?

    Low

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    High

    5. During the past 2-3 days, rate how tense or anxious you have felt.

    Not at all

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    Extremely

    6. During the past 2-3 days, rate how ‘depressed’ or ‘down’ you have felt.

    Not at all

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    Extremely

    7. What do you think is the risk that your current pain or problem will not improve?

    Not at all

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    Extremely

    8. Think of your life; rate how satisfied you are with your current situation.

    Not at all

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    Extremely

    How true are the next statements to you?

    9. Physical activity makes my pain or problem worse.

    Not at all

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    Extremely

    10. I should not do my normal daily routine or work with my present pain or problem.

    Not at all

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    Extremely

    Help us to better understand your physical capabilities.

    11. I can walk for an hour or participate in my normal light recreational or sporting activities.

    Not at all

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    Extremely

    12. I manage my daily routine and social activities (e.g., shopping or transport or see friends).

    Not at all

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    Extremely