The University of Western Ontario

Here you can find the forms for the whiplash prognosis study run through UWO.  Click on the image to go to the form, or right

93-item paper-and-pencil self-report questionnaire for subjects to fill out at their first visit.

Baseline self-report questionnaire

4-item questionnaire for anyone who does not wish to participate in the study.

Baseline form for refusers

The physical assessment form that is found in the manual.

Baseline physical assessment form

This is the full physical assessment manual.  You will receive one of these upon becoming a data collection site.  More of the manuals can be downloaded here.  This is a large file (9.8MB).

Physical assessment manual

Forms

For information contact me at:

519-661-2111 x80145

dwalton5@uwo.ca