The Tampa Scale for Kinesiophobia (TSK) is a self-report measure developed to assess ‘fear of movement-related pain’ in patients with musculoskeletal pain (ie, lower back pain). The original test has been developed by Kori at al. in 1990.  Vlaeyen et al. developed a cut-off score and reported patients that scored greater than 37 were high-responders.
The Tampa flow contains the Tampa questionnaire and associated calculation. After form submission, the Tampa calculation is executed automatically. It's easy to extend this flow with conditional logic based on the interpretation of the Tampa calculation.
Questions and Scoring
You can find the 17 item questionnaire here.
Each item is scored on a 4-point Likert scale, ranging from 1 ‘strongly disagree’ to 4 ‘strongly agree’; total scores vary between 17 and 68, with higher scores indicating higher levels of fear of movement-related pain.
Higher scores associate with higher levels of kinesiophobia. Patients that score greater than 37 are considerd high-responders. 
 Kori SH, Miller RP, Todd DD. Kinesiophobia: a new view of chronic pain behaviour. Pain Management 1990; 3: 35–42.\
 Vlaeyen JW, Kole-Snijders AM, Boeren RG, van Eek H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain. 1995;62(3):363-372. doi:10.1016/0304-3959(94)00279-n