The Keele STarT Back Screening Tool Thinking about the last 2 weeks tick your response to the following questions:1. My back pain has spread down my leg(s) at some time in the last 2 weeks Agree Disagree 2. I have had pain in the shoulder or neck at some time in the last 2 weeks Agree Disagree 3. I have only walked short distances because of my back pain Agree Disagree 4. In the last 2 weeks, I have dressed more slowly than usual because of back pain Agree Disagree 5. It’s not really safe for a person with a condition like mine to be physically active Agree Disagree 6. Worrying thoughts have been going through my mind a lot of the time Agree Disagree 7. I feel that my back pain is terrible and it’s never going to get any better Agree Disagree 8. In general I have not enjoyed all the things I used to enjoy Agree Disagree 9. Overall, how bothersome has your back pain been in the last 2 weeks? Not at all Slightly Moderately Very much Extremely Total Score (all 9)Sub Score (Q5-9Submit score to GPName First Last Date of Birth Day Month Year Telephone NumberEmail Address