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. Author manuscript; available in PMC: 2010 Jun 7.
Published in final edited form as: J Orthop Sports Phys Ther. 2008 Jan 22;38(2):50–58. doi: 10.2519/jospt.2008.2647

APPENDIX.

THE FEAR-AVOIDANCE BELIEFS QUESTIONNAIRE. ADAPTED FROM WADDELL ET AL.42 SCORING INSTRUCTIONS: FABQ PHYSICAL ACTIVITY SCALE IS CALCULATED BY SUMMING ITEMS 2, 3, 4, AND 5; FABQ WORK SCALE IS CALCULATED BY SUMMING ITEMS 6, 7, 9, 10, 11, 12, AND 15.

graphic file with name nihms-100854-f0002.jpg

Here are some of the things other patients have told us about their pain. For each statement please circle the number from 0 to 6 to indicate how much physical activities such as bending, lifting, walking or driving affect or would affect your back pain.

Completely
Disagree
Unsure Completely
Agree
1. My pain was caused by physical activity. 0 1 2 3 4 5 6
2. Physical activity makes my pain worse. 0 1 2 3 4 5 6
3. Physical activity might harm my back. 0 1 2 3 4 5 6
4. I should not do physical activities which
(might) make my pain worse.
0 1 2 3 4 5 6
5. I cannot do physical activities which
(might) make my pain worse.
0 1 2 3 4 5 6

The following statements are about how your normal work affects or would affect your back pain.
Completely
Disagree
Unsure Completely
Agree
6. My pain was caused by my work or by an
accident at work.
0 1 2 3 4 5 6
7. My work aggravated my pain. 0 1 2 3 4 5 6
8. I have a claim for compensation for my
pain.
0 1 2 3 4 5 6
9. My work is too heavy for me. 0 1 2 3 4 5 6
10. My work makes or would make my pain
worse.
0 1 2 3 4 5 6
11. My work might harm my back. 0 1 2 3 4 5 6
12. I should not do my regular work with my
present pain.
0 1 2 3 4 5 6
13. I cannot do my normal work with my
present pain.
0 1 2 3 4 5 6
14. I cannot do my normal work until my pain
is treated.
0 1 2 3 4 5 6
15. I do not think that I will be back to my
normal work within 3 months.
0 1 2 3 4 5 6
16. I do not think that I will ever be able to go
back to that work.
0 1 2 3 4 5 6