FEAR AVOIDANCE BELIEFS QUESTIONNAIRE (FABQ)

Name: Date:
Here are some of the things which other patients have told us about their pain. For each statement please circle any number from 0 to 6 to say how much physical activities such as bending, lifting, walking or driving affect or would affect your back pain.

<-- 1. My pain was caused by physical activity
<-- 2. Physical activity makes my pain worse
<-- 3. Physical activity might harm my back
<-- 4. I should not do physical activities which (might) make my pain worse
<-- 5. I cannot do physical activities which (might) make my pain worse

The following statements are about how your normal work affects or would affect your back pain.
<-- 6. My pain was caused by my work or by an accident at work
<-- 7. My work aggravated my pain
<-- 8. I have a claim for compensation for my pain
<-- 9. My work is too heavy for me
<-- 10. My work makes or would make my pain worse
<-- 11. My work might harm my back
<-- 12. I should not do my normal work with my present pain
<-- 13. I cannot do my normal work with my present pain
<-- 14. I cannot do my normal work until my pain is treated
<-- 15. I do not think that I will be back to my normal work within 3 months
<-- 16. I do not think that I will ever be able to go back to that work
Physical Activity Subscale --> FABQPAscore=(Q2)+(Q3)+(Q4)+(Q5) out of 24 points
Work Subscale –> FABQWscore=(Q6)+(Q7)+(Q9)+(Q10)+(Q11)+(Q12)+(Q14)+(Q15)+(Q16) out of 42 points.
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