Örebro

Örebro Musculoskeletal Pain Questionnaire (ÖMPQ).

This form is designed to be completed with your injured employee to help assess their pain levels, work impact, and daily activity limitations. Answer each question carefully by selecting the option that best describes their experience.

Please read before answering: These questions apply if you have aches or pains, such as back, shoulder or neck pain. Read and answer carefully. Don’t take long to answer, but please answer every question.

1. Name, Phone, Date

2. Date of Injury and Date of Birth

3. Sex — select one option Male Female

4. Were you born in Australia? — select one option Yes No

5. Where do you have pain? — select all that apply Score: 0

Scoring: number of sites × 2; maximum 10.

6. How many days of work have you missed because of pain during the past 18 months? — select one option Score: 0

7. How long have you had your current pain problem? — select one option Score: 0

8. Is your work heavy or monotonous? — select one number Score: 0

9. How would you rate the pain that you have had during the past week? — select one number Score: 0

10. In the past three months, on average, how bad was your pain on a 0–10 scale? — select one number Score: 0

11. How often would you say you experienced pain episodes on average during the past three months? — select one number Score: 0

12. Based on all things you do to cope with your pain, on an average day, how much are you able to decrease it? — select one number Score: 0

Scoring for this item: 10 − selected number.

13. How tense or anxious have you felt in the past week? — select one number Score: 0

14. How much have you been bothered by feeling depressed in the past week? — select one number Score: 0

15. In your view, how large is the risk that your current pain may become persistent? — select one number Score: 0

16. In your estimation, what are the chances that you will be able to work in six months? — select one number Score: 0

Scoring for this item: 10 − selected number.

17. Considering work routines, management, salary, promotion possibilities and colleagues, how satisfied are you with your job? — select one number Score: 0

Scoring for this item: 10 − selected number.

Here are some of the things that other people have told us about their pain.

For each statement, select one number from 0 to 10 to indicate how much physical activities such as bending, lifting, walking or driving would affect your pain.

18. Physical activity makes my pain worse. Score: 0

19. An increase in pain indicates I should stop what I’m doing until the pain decreases. Score: 0

20. I should not do my normal work with my present pain. Score: 0

Here is a list of five activities.

Select one number that best describes your current ability for each activity.

21. I can do light work for an hour. Score: 0

Scoring for this item: 10 − selected number.

22. I can walk for an hour. Score: 0

Scoring for this item: 10 − selected number.

23. I can do ordinary household chores. Score: 0

Scoring for this item: 10 − selected number.

24. I can do the weekly shopping. Score: 0

Scoring for this item: 10 − selected number.

25. I can sleep at night. Score: 0

Scoring for this item: 10 − selected number.

Total ÖMPQ Score (Q5–Q25): 0 / 210 Auto-calculated from item scores.

Notes: Q5 = sites×2 (max 10); Q6–7 = bracketed number; Q8,9,10,11,13–15,18–20 = selected number; Q12,16–17,21–25 = 10 − selected.

Common questions from employers like you answered clearly and simply.

Honest, plain-English answers to the things you’re probably wondering.

“Why do we need to do this if it wasn’t a serious injury?”

Because how you respond sets the tone, whether it’s a sprain or something major. Early contact, good communication, and flexible duties reduce costs, improve morale, and help prevent claims from dragging out.

“Do we have to offer suitable duties? Is it required?”

If it’s safe and appropriate, yes, it’s one of the most effective ways to support recovery. We’ll provide example duties, and your insurer can help too.

“What if there’s nothing suitable on-site? I can’t think of anything”

Then we look at off-site or alternative options: admin, training, support tasks, or even modified hours. Recovery doesn’t have to happen all in one place.

“Won’t this just create more work for managers?”

Not if done right. A simple call, a clear plan, and light contact go further than endless paperwork and long absences. It’s a short-term effort for long-term gain.

Get Good to Go updates in your inbox.

Stay across practical RTW guidance, new tools, case studies and events.

Brought to you by ARPA, the national peak body for workplace rehabilitation providers.

ARPA acknowledges Aboriginal and/or Torres Strait Islander peoples and communities as the traditional custodians of the land on which we live and work and pay our respects to elders past, present and emerging. We are an inclusive organisation and respect people of all backgrounds, genders, sexualities, cultures, bodies and abilities.