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1524 Albert Street Regina, SK. S4P 2S4 pH: 306.522.4995 Fax: 306.352.1735 info reginaphysio.com www.reginaphysio.com NAME: DATE: ROLAND MORRIS QUESTIONNAIRE When your back hurts, you may find it difficult
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To fill out the Roland Morris questionnaire, follow these steps:
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Read each statement carefully and decide if it applies to you.
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If a statement applies to you, mark the box next to it.
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If a statement does not apply to you, leave the box empty.
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Continue this process until you have gone through all the statements.
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Once you have marked the applicable boxes, add up the total number of boxes marked.
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This total score will help assess the impact of your back pain on your daily life.
08
Consult with a healthcare professional to interpret the results and discuss further actions.

Who needs roland morris questionnaire when?

01
The Roland Morris questionnaire is used by healthcare professionals, such as doctors, physiotherapists, and chiropractors, to assess the impact of back pain on a patient's daily life.
02
It is typically administered to individuals who are experiencing or have a history of back pain.
03
This questionnaire helps in evaluating the severity of the pain, its effects on functional ability, and monitoring the progress of treatment.
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The results of the Roland Morris questionnaire can aid in developing an appropriate treatment plan and measuring the effectiveness of interventions.
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The Roland Morris Questionnaire is a health assessment tool used to evaluate the level of disability and pain in individuals with back pain.
Patients with back pain or individuals seeking treatment for back pain may be required to fill out the Roland Morris Questionnaire by their healthcare provider.
To fill out the Roland Morris Questionnaire, individuals are asked to answer a series of questions rating the impact of back pain on their daily activities.
The purpose of the Roland Morris Questionnaire is to assess the disability and pain level in individuals with back pain, in order to guide treatment and monitor progress.
The Roland Morris Questionnaire asks individuals to report on how back pain affects their ability to perform various daily tasks and activities.
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