SHOULDER PAIN & DISABILITY INDEX

Please place a mark on the line that best represents your experience during the last week attributable to your shoulder problem.

Pain scale

How severe is your pain?

Pick the number that best describes your pain where: 0 = no pain and 10 = the worst pain imaginable.

Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0

Disability scale

How much difficulty do you have?

Circle the number that best describes your experience where: 0 = no difficulty and 10 = so difficult it requires help.

Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0

PAIN IS NOT A LIFESTYLE

Get your quality of life back today.

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