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. 2010 Nov 22;11:268. doi: 10.1186/1471-2474-11-268

Table 6.

Self-administered questionnaire

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

Total score cut-off point: ≥ 6

Sensitivity: 93.5%

Specificity: 67.3%

Positive likelihood ratio: 2.96

Negative likelihood ratio: 0.096