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How severe is your pain
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At worst
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when lying on the involved side
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Reaching things on high shelf
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Touching the back of your neck
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Pushing with the involved arm
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How much difficulty you have
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Washing your hair
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Washing your back
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Putting undershirt/pullover
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Putting shirt that buttons down
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Putting on your pants
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Placing an object on high shelf
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Carrying heavy object of 10pound
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Removing from back pocket
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Other comments
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