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Assesment tool

Assesment tool

1. Where have you been experiencing joint pain?

1. Where have you been experiencing joint pain? *

2. How long have you been experiencing joint pain?

2. How long have you been experiencing joint pain? *

3. Have you recently injured your affected joint?

3. Have you recently injured your affected joint? *

4. How would you rate your joint pain on a scale of 1 (no pain) to 10 (unbearable pain) when resting?

*
(1 = No pain)(10 = The worst pain imaginable)

5. How would you rate your joint pain on a scale of 1 (no pain) to 10 (unbearable pain) with activity?

*
(1 = No pain)(10 = The worst pain imaginable)

6. What daily activities are more difficult due to your joint pain (if any)?

7. What treatments have you tried to help with your joint pain? Check all that apply.

*

8. Has your joint ever swelled up or become enlarged?

*

9. Have you been diagnosis with osteoarthritis by a doctor or other healthcare professional?

*

10. What are your goals and expectations from treatment?