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  • Oswestry Disability Index survey

Spine Pre-Surgery / Post-Surgery Assessment

Thank you for choosing Dignity Health for your spine surgery needs. This is an assessment that your physician would like you to complete in order to best evaluate your current low back pain / disability, and understand to what degree the pain affects your ability to manage everyday activities.

Your participation by completing the survey at your earliest convenience is greatly appreciated.

Oswestry Disability Index Survey
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https://apiprod.commonspirit.org/api/v1/validation/token
https://apiprod.commonspirit.org/api/v1/patient-regis/appointment/
https://apiprod.commonspirit.org/api/v1/patient-regis/patient/
https://apiprod.commonspirit.org/api/v1/patient-regis/insurance/
https://apiprod.commonspirit.org/api/v1/patient-regis/condition/search?outreachKey=
https://apiprod.commonspirit.org/api/v1/patient-regis/medicationRequest/search?outreachKey=
https://apiprod.commonspirit.org/api/v1/patient-regis/allergy/search?outreachKey=
https://apiprod.commonspirit.org/api/v1/patient-regis/pams/
https://apiprod.commonspirit.org/api/v1/patient-regis/vRegStatus
https://apiprod.commonspirit.org/api/v1/patient-regis/questionnaireResponse/
https://apiprod.commonspirit.org/api/v1/patient-regis/questionnaire/
https://apiprod.commonspirit.org/api/v1/patient-regis/dictionary/
  1. First and last name
  2. Email
  3. Are you completing this assessment pre-surgery or post-surgery?
  4. Select your surgeon
  5. Date of birth
  6. Today's date
  7. Date of surgery
  8. SECTION 1 – Pain intensity
  9. SECTION 2 – Personal care
  10. SECTION 3 – Lifting
  11. SECTION 4 – Walking
  12. SECTION 5 – Sitting
  13. SECTION 6 – Standing
  14. SECTION 7 – Sleeping
  15. SECTION 8 – Social life
  16. SECTION 9 – Traveling
  17. SECTION 10 – Changing degree of pain
  18. Submit

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