Table 6 Self-administered questionnaire
From: Development of a self-administered questionnaire to screen patients for cervical myelopathy
Assigned score | |
|---|---|
Do you have difficulty climbing the stairs to one floor above? | 2 |
Do you have difficulty walking for 15 minutes? | 1 |
Do you have a feeling of residual urine in your bladder after voiding? | 1 |
Can you initiate (start) your urine stream immediately when you want to void? | 1 |
Do you have neck pain, shoulder pain, and neck stiffness? | 2 |
Do you have chest tightness? | 2 |
Do you have pain or numbness in the upper extremity? | 3 |
Do you have pain or numbness from chest to forefoot? | 1 |