Örebro Musculoskeletal Pain Screening Questionnaire

1. How long have you had your current pain problem?

• 0-1 Weeks
• 1-2 Weeks
• 3-4 Weeks
• 4-5 Weeks
• 6-8 Weeks
• 9-11 Weeks
• 3-6 Months
• 6-9 Months
• 9-12 Months
• Over 1 Year

2. How would you rate the pain that you have had during the past week?

(0 No pain / 10 Pain as bad as it could be)

• 0
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10

3. I can do light work (or home duties) for an hour.

(0 Not at all / 10 Without any difficulty)

• 0
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10

4. I can sleep at night.

(0 Not at all / 10 Without any difficulty)

• 0
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10

5. How tense or anxious have you felt in the past week?

(0 Absolutely calm and relaxed / 10 As tense and anxious as I've ever felt)

• 0
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10

6. How much have you been bothered by feeling depressed in the past week?

(0 Not at all / 10 Extremely)

• 0
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10

7. In your view, how large is the risk that your current pain may become persistent?

(0 No Risk / 10 Very large risk)

• 0
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10

8. In your estimation, what are the chances you will be working your normal duties (at home or work) in 3 months

(0 No Chance / 10 Very Large Chance)

• 0
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10

9. An increase in pain is an indication that I should stop what I’m doing until the pain decreases.

(0 Completely disagree / 10 Completely agree)

• 0
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10

10. I should not do my normal work (at work or home duties) with my present pain.

(0 Completely disagree / 10 Completely agree)

• 0
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10