Table 2: Quality of Life Questionnaire

1. How much pain are you in at this time? (Questions 2,3,4) How well are you able to perform:
2. Light activities like walking a block or dressing yourself?
3. Moderate activities like playing golf, walking half a mile, or dancing?
4. Vigorous activities like running or moving furniture?
5. How much is your sleep disturbed by pain at this time?
6. How well are you able to lift items off the floor at this time?
7. How would you assess your level of happiness at this time?
8. How interested are you in socializing at this time?
9. Because of pain, how much is your socializing limited at this time?