177-1635484487

Age: 
31
Pain intensity: 
I have no pain at the moment.
Personal care: 
I can look after myself without causing extra pain.
Lifting: 
I can lift heavy objects without extra pain
Reading: 
I can read as much as I want to with no pain in my neck.
Headache: 
I have no headaches at all.
Concentration: 
I can concentrate fully when I want to with no difficulty.
Work: 
I can do most of my usual work, but no more.
Driving: 
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).
Recreation: 
I am able to engage in most, but not all recreational activities because of pain in my neck.
Date of submission: 
29/10/2021
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: 
ndi: 
Raw Score: 18
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