QUESTIONNAIRES PRECEDING THE FIRST APPOINTMENT Could you fill out these questionnaire online before your first consult? This will make it possible to spend more time on the pysiotherapy examination. Intakeform

Roland Disability Questionnaire
Questionnaire concerning obstructions because of back complaints during regular daily life.

Patient Specific Complaints
This questionnaire is a way to determine the daily function status of a patient.

Neck Disability Index
This questionnaire is a way to determine obstructions in daily life as a result of neck complaints.

Shoulder Disability Questionnaire
Questionnaire about complaints in and around the shoulders (pain and/or movement obstructions).

Algofunctional Index Hip Arthritis
This measurement instrument can be utilized to monitor people with health problems as a result of hip arthritis during treatment. It provides insight in pain and loss of ADL-activity.

VAS score
Score of pain, symptoms or obstructions.

Questionnaire track and field athletes
Questionnaire to make an inventory of general data for competitive track and field athletes.

RED FLAGS:

Lower back region

Pelvis / hip region

Knee region

Ankel / foot region

Head region

Neck region

Shoulder region

Ebow region

Wrist / hand region

TWK / Thorax region