Table 3.

Proposed Core Outcome Measures

1. During the past week, how bothersome have each of the following symptoms been? (circle one number in each row)
	Not at all	Slightly	Moderately	Very	Extremely
	bothersome	bothersome	bothersome	bothersome	bothersome
a. Low back pain	1	2	3	4	5
b. Leg pain (sciatica)	1	2	3	4	5
2. During the past week, how much pain did pain interfere with your normal work (including both work outside the home and housework)?
	□ Not at all	□ A little bit	□ Moderately	□ Quite a bit	□ Extremely
3. If you had to spend the rest of your life with the symptoms you have right now, how would you feel about it?
	□ Very	□ Somewhat	□ Neither satisfied	□ Somewhat	□ Very
	dissatisfied	dissatisfied	nor dissatisfied	satisfied	satisfied
4. During the past 4 weeks, about how many days did you cut down on the things you usually do for more than half the day because of back pain or leg pain (sciatica)? ___ Number of days
5. During the past 4 weeks, how many days did low back pain or leg pain (sciatica) keep you from going to work or school? ___ Number of days
6. Over the course of treatment for your low back pain or leg pain (sciatica), how satisfied were you with your overall medical care?
	□ Very	□ Somewhat	□ Neither satisfied	□ Somewhat	□ Very
	dissatisfied	dissatisfied	nor dissatisfied	satisfied	satisfied