Back Disability Quiz

1. Due to my back condition, I remain at home most of the time.

2. To get my back more comfortable, I shift positions often.

3. My back condition causes me to walk slow.

4. My back does not allow me to do normal jobs around the home.

5. My back condition forces me to use a handrail going up stairs.

6. I have to lie down more frequently due to my back.

7. Due to my lower back, I must grab something to help get up from a low chair.

8. Due to my back condition, I try getting others to do things for me.

9. My back causes me to get dressed slowly.

10. My back problem only permits me to stand for short periods of time.

11. My back makes it difficult to bend or kneel.

12. It is difficult to get out of any chair due to my back.

13. Due to my back, I am in pain most of the time.

14. Back pain makes it hard to turn over in bed.

15. My back condition makes my appetite worse.

16. Back pain causes me difficulty in putting on socks/stockings.

17. Back pain prevents me from walking longer distances.

18. My back pain causes me to lose sleep.

19. I need help getting dressed due to my back pain.

20. Due to my back condition, I sit most of the day.

21. Because of my back, I can’t do heavy jobs around my home.

22. My back condition causes me to lose my temper more and become more irritable.

23. Back pain causes me to go up stairs slowly.

24. I have to stay in bed most of the day due to back pain.