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How to fill out the Bournemouth Neck Questionnaire online
The Bournemouth Neck Questionnaire is designed to assess neck pain and its impact on daily life. This guide provides clear instructions for filling out this important questionnaire online.
Follow the steps to complete the Bournemouth Neck Questionnaire efficiently.
- Click ‘Get Form’ button to access the Bournemouth Neck Questionnaire and open it in your preferred editor.
- Begin by filling in your personal information at the top of the form. This includes your last name, first name, patient ID, provider’s name, and date of birth (MM/DD/YYYY) alongside the provider's phone number.
- Proceed to the scale questions. For each question, indicate your response by marking the number that best reflects your experience over the past week. Each scale ranges from 0 to 10, with 0 indicating no pain or interference and 10 indicating the worst possible outcomes.
- Complete the first scale regarding your average neck pain over the last week by selecting a number from 0 to 10.
- Continue with the second scale, which asks about the interference of neck pain with your daily activities. Again, select a number from 0 to 10.
- For the third scale, evaluate how neck pain has affected your recreational, social, and family activities, marking the appropriate number.
- Fill out the fourth and fifth scales on anxiety and depression in the same manner, choosing a number that best represents your feelings over the past week.
- In the sixth scale, assess the impact of your work on neck pain, selecting a number from 0 to 10 to indicate your perspective.
- For the seventh scale, indicate how much control you feel you have over managing your neck pain, again marking the number that fits your experience.
- In the comments section, add any additional thoughts or information that may be useful.
- Finally, review the information you have entered for accuracy, then provide your signature and date to confirm the completeness of your information.
- Once all sections are complete, you can save changes, download, print, or share the completed questionnaire.
Complete your Bournemouth Neck Questionnaire online today to ensure a thorough assessment of your neck pain.
The Roland-Morris Disability Questionnaire is primarily used to assess disability resulting from low back pain, similar in purpose to the Bournemouth Neck Questionnaire. It can help identify how back pain affects your daily living and activity levels. This insight is crucial for determining effective treatment approaches and improving overall well-being.
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