Life Enhancement Clinics of Montana

Patient Quality of Life, Pain, & Function Questionnaire

Section 1: Pain (Questions 1-5)

Section 2: Functional Ability (Questions 6-10)

Section 3: Quality of Life (Questions 11 - 15)

Scoring: Each question is scored 1-10 Subscores Pain Subscore = Q1-Q5 (Max: 50) Function Subscore = Q6-Q10 (Max: 50) Quality of Life Subscore = Q11-Q15 (Max: 50) Total Score (0-150): Higher scores indicate worse pain, function, and quality of life.

Proudly Serving Montana from these 4 Locations:
Billings
Bozeman
Helena
Missoula

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