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Question
Question
Weight……………………………… Occupation……………….
a) Mild a) Yes
b) Moderate b) No
c) Severe c) Sometimes
Q4. What is the nature of pain? Q9. Any previous history of back pain?
a) Tingling a) Yes
b) Diffuse b) no
c) Localized
Q10. Do you avoid heavy jobs around the
Q5. In which body position did you work house because of pain?
mostly?
a) Yes
a) Standing b) No
b) Sitting
c) Bending
a) During work
b) Immediately after work
c) At rest
d) Others