Additional Documents to Download and Bring to Your First Visit
Pelvic Pain/Abdominal Pain
Please fill out these pre- and post-tests (all three) if you have pelvic or abdominal pain with intercourse, with use of a tampon, with getting a pelvic exam at your gynecologist's office, with urinating or having a bowel movement or with sitting.
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Female NIH - Chronic Prostatitis Symptom Index -
Pelvic Floor Impact Questionnaire
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Vulvar Pain Functional Questionnaire (V-Q)
Pelvic Organ Dysfunction
Please fill out this pre/post questionnaire if you have urinary or fecal dysfunction of any kind including incontinence, retention, constipation, prolapse, urgency or frequency.
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Pelvic Floor Distress Inventory Questionnaire
Low Back Pain
Please fill out this form if you have low back, sacral or coccyx pain.
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Oswestry Disability Index
Posture and Health
Please read and learn about ways to improve your posture and decrease your chances of developing pain from poor posture.
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Posture and Health Handout
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Scenarios
Pain Scale
Please read carefully and select the pain level that best describes your pain level. This will allow your physical therapist to better communicate with you regarding your pain.
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Comparative Pain Scale
This is a detailed pain scale that will help you better define your pain level.
Foot/Ankle Questionnaire
Please fill this out if you have lower leg, foot or ankle pain.
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FAAM Patient Questionnaire