Available in English. Does NOT ask for pain ratings from patient. Includes pain neuroscience education questions.

Categories of questions asked:

• Functional ability
• Energy level
• Stress levels (and management)
• Adherence to home program
• Sleep quality
• Time/effort to complete home program
• Weekly progress update (perceived improvement/progress)
• Nerve symptoms
• Confidence in self-management

Example of questions:

Hi [patient name]! 👋

Has the effort required to perform your exercises changed? You can reply EASIER, HARDER, or NO CHANGE to indicate!

HHi [patient name]! 👋

Do you ever feel anxious or depressed? Reply 1, 2 or 3 to indicate.1 = you are not anxious/depressed; 2 = moderately anxious/depressed; 3 = extremely anxious/depressed