Ability to perform the following activities:
PLEASE READ: Please complete this questionnaire. It is designed to give us information as to how your NECK trouble has affected your ability to manage in everyday life.
Please answer every section. Mark one box only in each section that most closely described you today.
PLEASE READ: Please complete this questionnaire. It is designed to give us information as to how your BACK (OR LEG) trouble has affected your ability to manage in everyday life.