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Back and Leg Pain SCREENING (3 of 3)

  • Please complete the following questions:

  • How many of the following statements pertain to you:
    • I do not feel safe to move
    • Someone with a condition like mine should not be active
    • My back pain will never get better
    • Worrying thoughts invade my mind a lot

I’m Here For…

Back Pain
Back Pain

You are experiencing pain or discomfort in your upper- or lower-back regions.
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Neck Pain
Neck Pain

You are experiencing pain or discomfort in your neck region.
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Leg Pain
Leg Pain

You are experiencing shooting pains, numbness, or discomfort in one or both of your legs.
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Severe Injury
Severe Injury

You have sustained a physical injury or fall that has resulted in blood loss, possible fracture, or severe pain.
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