Questionnaires on Embodia

Here are the pre-built questionnaires available on Embodia

Please note: more may have been added so it is best to check on your account if you are an Embodia Tier 2 or 3 Member.

Validated outcome measures: 

• Berg Balance Tests and Rating Scale
• Brain Injury Vision Symptom Survey (BVISS)
• Depression Anxiety Stress Scales (DASS 21)
• Dizziness Handicap Inventory
• Edinburgh Postnatal Depression Scale
• Fatigue Severity Scale
• Fear-Avoidance Beliefs Questionnaire (FABQ)
• Headache Disability Index
• Index de l’incapacité reliée à la douleur
• Insomnia Severity Index
• Knee Injury and Osteoarthritis Outcome Score (KOOS)
• Lower Extremity Functional Scale (LEFS)
• Neck Disability Index (NDI)
• Pain Catastrophizing Scale (PCS)
• Pain Disability Index
• Pain Self-Efficacy Questionnaire (PSEQ)
• Patient Rated Wrist/Hand Evaluation (PRWHE)
• Pelvic Health Patient History Intake Form Intake form
• Pelvic Health Screening (PHS)
• Post-Concussion Symptom Scale
• Shoulder Pain and Disability Index (SPADI)
• Tampa Scale for Kinesiophobia
• TELUS eClaims - Electronic transmission authorization and consent form Consent form
• The Central Sensitization Inventory (CSI)
• The Rivermead Post-Concussion Symptoms Questionnaire
• The Roland-Morris Disability Questionnaire
• Upper Extremity Functional Scale (UEFS) 
• Vulvar Pain Functional Questionnaire (V-Q)

Intake and consent forms 

• COVID-19 Screening
• Intake Form - General
• Intake Form - Personal information 
• Intake Form - Vestibular
• Consent Form - General 
• Pelvic Health Symptom Monitor
• Net Promoter Score (NPS)
• Pelvic Health Patient History Intake Form
• Pelvic Self-Exam for Telehealth