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Table 2 Candidates from the JOACMEQ questionnaire

From: Development of a self-administered questionnaire to screen patients for cervical myelopathy

Q1-1

While in the sitting position, can you look up at the ceiling by tilting your head upward?

Q1-2

Can you drink a glass of water without stopping despite the neck symptoms?

Q1-3

While in the sitting position, can you turn your head toward the person who is seated to the side but behind you and speak to that person while looking at his/her face?

Q1-4

Can you look at your feet when you go down the stairs?

Q2-1

Can you fasten the front buttons of your blouse or shirt with both hands?

Q2-2

Can you eat a meal with your dominant hand using a spoon or a fork?

Q2-3

Can you raise your arm? (Answer for the weaker side.)

Q3-1

Can you walk on a flat surface?

Q3-2

Can you stand on either leg without holding onto something? (or the need to support yourself)

Q3-3

Do you have difficulty climbing the stairs to one floor above?

Q3-4

Do you have difficulty bending forward, keeling, and stopping?

Q3-5

Do you have difficulty walking for 15 minutes?

Q4-1

Do you have urinary incontinence?

Q4-2

Do you go to the bathroom at night?

Q4-3

Do you have a feeling of residual urine in your bladder after voiding?

Q4-4

Can you initiate (start) your urine stream immediately when you want to void?

Q5

Do you have neck pain, shoulder pain, and neck stiffness?

Q6

Do you have chest tightness?

Q7

Do you have pain or numbness in the upper extremity?

Q8

Do you have pain or numbness from chest to forefoot?