Submitted by none none on 29/10/2021
I have no pain at the moment.
I can look after myself without causing extra pain.
I can lift heavy objects without extra pain
I can read as much as I want to with no pain in my neck.
I have no headaches at all.
I can concentrate fully when I want to with no difficulty.
I can do most of my usual work, but no more.
I can drive my car as long as I want with moderate pain in my neck.
Neck pain and sleeping:
My sleep is moderately disturbed (2—3 hours sleepless).
I am able to engage in most, but not all recreational activities because of pain in my neck.
Date of submission:
Do you feel irritable or are you prone to getting angry easily:
Do you have difficulty falling asleep or staying asleep:
Do you have difficulty concentrating (e.g. forgetting what you have read; losing track of a story or movie):
Are you noticeably overly alert:
Are you noticeably jumpy or are you easily startled:
Raw Score: 18