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Musculoskeletal Discomfort Form Employee ID Based on the Nordic Questionnaire Kourinka et al. 1987 Job/Position Gender M F Age Height ft. in* How long have you been doing this job years months How many hours do you work each week How to answer the questionnaire Picture In this picture you can see the approximate position of the parts of the body referred to in the table. Limits are not sharply defined and certain parts overlap* You should decide for yourself in which part you have or have had...
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How to fill out CO School of Mines Musculoskeletal Discomfort Form

01
Obtain the CO School of Mines Musculoskeletal Discomfort Form from the official website or designated office.
02
Fill in your personal information, including your name, student ID, and contact details at the top of the form.
03
Describe the specific areas of discomfort, including the type of pain, duration, and any relevant activities that may have contributed to the discomfort.
04
Indicate the frequency and intensity of your discomfort on a scale provided in the form.
05
Complete any additional sections requesting information about previous injuries, medical history, or treatments received.
06
Review the form for accuracy and completeness.
07
Sign and date the form at the designated area to confirm the information provided is true.
08
Submit the form to the appropriate office or online portal as instructed.

Who needs CO School of Mines Musculoskeletal Discomfort Form?

01
Students at the Colorado School of Mines who are experiencing musculoskeletal discomfort related to their studies or activities.
02
Faculty and staff who want to report musculoskeletal discomfort that may be arising from their work environment.
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People Also Ask about nmq questionnaire

The Extended Nordic Musculoskeletal Questionnaire (NMQ-E) is a reliable instrument that measures the prevalence, severity and impact of musculoskeletal symptoms.
Meanwhile, the reliability value seen from the Cronbach's Alpha value is in the range of 0.965-0.966 which also has a strong meaning.
Nordic Musculoskeletal Questionnaire is a questionnaire used to find out whether someone has problems with their locomotion. The NMQ validity test has been conducted in several countries, France with good results, but in Indonesia, no one has ever validated the NMQ.
Comparing pain in the last 7 days and clinical examination found sensitivity ranged between 66 and 92% and specificity between 71 and 88% [4].
The Standardized Nordic questionnaire, published in 1987 (13) is the most frequently used symptom questionnaire, initially designed for all musculoskeletal disorders, mainly for low back pain. The published version includes specific sections for the lower back, neck, and shoulder regions.
The Nordic Musculoskeletal Questionnaire (NMQ) can be used for the screening of musculoskeletal problems. The NMQ allows comparison of musculoskeletal problems in different body regions in epidemiological studies with large numbers of participants.

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The CO School of Mines Musculoskeletal Discomfort Form is a document designed to report any musculoskeletal discomfort that employees may experience while performing their job duties at the institution.
All employees of the CO School of Mines who experience musculoskeletal discomfort related to their work are required to file the Musculoskeletal Discomfort Form.
To fill out the form, employees should provide detailed information about the discomfort experienced, including the type of discomfort, the body part affected, circumstances of occurrence, and any actions taken to address the issue.
The purpose of the form is to document musculoskeletal discomfort incidents to help identify patterns, implement preventative measures, and ensure a safe working environment for all employees.
Employees must report the type of discomfort, specific location of the pain or discomfort, duration, any relevant activities leading to the discomfort, and any prior similar incidents.
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