Table 1 Screening questionnaire
Screen for musculoskeletal impairment | Yes | No |
|---|---|---|
1. Is any part of your body missing or misshapen? | â—‹ | â—‹ |
2. Do you have any difficulty using your arms? | â—‹ | â—‹ |
3. Do you have any difficulty using your legs? | â—‹ | â—‹ |
4. Do you have any difficulty using any other part of your body? | â—‹ | â—‹ |
5. Do you need a mobility aid or prosthesis? | â—‹ | â—‹ |
6. Do you have convulsions, involuntary movement, rigidity or loss of consciousness? | â—‹ | â—‹ |
If any of the answers are "yes" | ||
7. Has it lasted more than one month or is it permanent? | â—‹ | â—‹ |