1 | I stay at home most of the time because of my back problem or leg pain (sciatica). |
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2 | I change position frequently to try and get my back or leg comfortable. |
3 | I walk more slowly than usual of my back problem or leg pain (sciatica). |
4 | Because of my back problem, I am not doing any of the jobs that I usually do around the house. |
5 | Because of back problem, I use a handrail to get to upstairs. |
6 | Because of my back problem, I have to hold onto something to get out of an easy chair. |
7 | I get dressed more slowly than usual because of my back problem or leg pain (sciatica). |
8 | I only stand for short periods of time because of my back problem or leg pain (sciatica). |
9 | Because of my back problem, I try not to bend or kneel down. |
10 | I find it difficult to get out of chair because of my back problem or leg pain (sciatica). |
11 | My back or leg is painful almost all the time. |
12 | I find it difficult to turn over the bed because of pain in my back or leg. |
13 | I have trouble putting on my socks (or stockings) because of the pain in my back or leg. |
14 | I only walk short distances because of my back or leg pain (sciatica). |
15 | I sleep less well because of my back problem. |
16 | I avoid heavy jobs around the house because of my back problem. |
17 | Because of my back problem, I am more irritable and bad tempered with people than usual. |
18 | Because of my back problem, I go upstairs more slowly than usual. |
19 | I stay in bed most of the time because of my back or leg pain (sciatica). |
20 | Because of my back problem, my sexual activity is decreased. |
21 | I keep rubbing or holding areas of my body that hurt or are uncomfortable. |
22 | Because of my back problem, I am doing less of the daily work around the house than I would usually do. |
23 | I often express concern to other people over what might be happening to my health. |