Please follow the questions and the rating you believe applies to you. You are not required to complete the ‘Enter Score ‘ boxes. These will be completed by your Clinician once submitted.
The items are scored 0-10, where 0 refers to absence of impairment and 10 to severe impairment. However, three items need to be reversed in order for all the questions to be oriented in the same direction.
The scoring method has been built into the questionnaire and scoring boxes are provided to the right of each item:
The total score will range between 1 and 100, with a score >50 indicating higher estimated risk for future work disability (Linton, Nicholas & MacDonald, 2011).