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5 Minute Back Pain Assessment

Get clarity on what's causing you to stay stuck in pain with an assessment that identifies your pain type, so you can understand your main triggers and what type of treatments will work best.

Take this short assessment to find out...

Start

Question 1 of 16

Where do you feel your back pain most often?

A

Lower back

B

Mid-back

C

Upper back / shoulders

D

It moves around

E

All over my back

Question 2 of 16

How long have you been experiencing this pain?

A

Less than 6 weeks

B

6-12 weeks

C

3-6 months

D

more than 6 months

E

Several years

Question 3 of 16

How would you rate your pain most days?

A

0-3 Mild pain (nagging, annoying, but doesn't interfere much)

B

4-6 Moderate (interferes with daily life somewhat)

C

7-8 Severe pain (hard to concentrate, limits most activities)

D

9-10 Unbearable

Question 4 of 16

How much does your pain affect your daily life?

A

It doesn't really affect me

B

I plan around it sometimes

C

It's limiting me from doing the things I enjoy

D

I'm struggling to do even the simplest daily tasks

E

I often feel emotionally drained or frustrated by the pain

Question 5 of 16

What does your pain feel like most often?

A

A dull, aching soreness

B

A sharp, stabbing pain

C

A burning or tingling sensation

D

Pain that shoots down into my arm or leg

E

A tight, pulling feeling

F

It changes or varies over time

G

I'm not sure how to describe it

Question 6 of 16

When does your pain typically come on or worsen?

A

When I've been still too long

B

Bending / lifting

C

When I'm tired or stressed

D

During hormonal shifts (e.g. menstrual cycle, ovulation, menopause, pregnancy, breast feeding)

E

Randomly - it seems like anything can trigger it

F

After physical activity

G

I"m not sure

Question 7 of 16

Do you notice pain after doing small tasks - like lifting a light object, tidying or getting up out of a chair?

A

Yes, even simple tasks can trigger it

B

Occasionally, but only after larger efforts

C

No, it only happens after obvious strain

D

I'm not sure

Question 8 of 16

Are there specific times your back pain feels worse?

A

In the morning

B

At night

C

After activity

D

During or around my period

E

It's constant

F

It comes and goes unpredictably

Question 9 of 16

Are you experiencing any of the following?

(Select all that apply)
A

Trouble sleeping

B

Chronic stress or burnout

C

Low mood or anxiety

D

Major hormonal shifts (menopause, pregnancy, post partum)

E

Feeling emotionally "on the edge"

F

Chronic fatigue

G

None of the above

Question 10 of 16

How sensitive are you to things like bright lights, loud noises and strong smells?

A

Not at all sensitive – I don’t notice any changes

B

A little sensitive – I’ve noticed mild increases in reactivity

C

Moderately sensitive – These things affect me more than they used to

D

Very sensitive – I feel easily overwhelmed by sensory input or emotion

Question 11 of 16

Do you every feel 'on edge' or like your body has difficulty calming down - even when you're trying to rest?

A

Rarely or never – I generally feel calm and can relax when I choose

B

Occasionally – It happens sometimes, especially during stress

C

Frequently – I notice this pattern often in my daily life

D

Almost always – My nervous system feels stuck in “high alert” mode most of the time

E

Constantly

Question 12 of 16

How much do you feel affected by stress or overwhelm?

A

Not much

B

A bit - I sometimes feel more pain when I'm stressed

C

Moderately - stress plays a big role in my pain

D

Very much - my pain is directly connected to stress

E

I'm in a constant cycle of stress and pain

Question 13 of 16

To what extent do sensory triggers impact you?

A

Not at all

B

A little

C

My pain worsens with sensory triggers like being in a loud or bright environment for too long

D

I often feel overloaded, even things like clothing labels can bother me

E

I avoid certain environments completely

Question 14 of 16

Have you been diagnosed with any of the following?

(Select all that apply)
A

Dic bulge or herniation at the site of your pain

B

Sciatica

C

Muscle strain

D

Fibromyalgia

E

Chronic fatigue or ME

F

None of the above

Question 15 of 16

How many of these symptoms do you experience?

 - Pain triggered by small actions
- Sensitivity to lights/sounds/busy environments
- Feeling emotionally drained by your pain
- Sleep problems related to your pain
- Constantly feeling "on edge"

A

None of these

B

1-2 symptoms

C

3-4 symptoms

D

All of them

Question 16 of 16

Have you tried anything to relieve your back pain? If so, what helped?

(Select all that apply)
A

Paracetamol or Ibuprofen

B

Prescription or over counter opioids (like codeine)

C

Physio or exercise

D

Rest or heat / ice therapy

E

Posture correction

F

Massage or chiropractic care

G

Meditation / relaxation techniques

H

Nothing seems to help for very long

I

I haven't tried anything

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