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The Ancestry Low Back Pain Disability Questionnaire Name: DOB: Date: INSTRUCTIONS: This questionnaire has been designed to give the therapist information as to how your back pain has affected your
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The Oswestry Low Back Pain Disability Questionnaire is a self-report questionnaire designed to measure a person's permanent functional disability related to low back pain.
Patients experiencing low back pain, healthcare providers assessing disability, and professionals conducting research related to back pain and its impact on daily activities may be required to utilize the form.
To fill out the form, respondents should read each section, select the statement that best describes their condition or limitations, and then submit the completed questionnaire as directed by their healthcare provider.
The purpose of the Oswestry Low Back Pain Disability Questionnaire is to quantify the degree of disability and evaluate how back pain affects daily activities, guiding treatment plans and patient care.
The form requires respondents to provide information about their pain levels, functional limitations in daily activities, and the impact of back pain on physical and social functioning.
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