Elbow, Wrist, or Hand

Please rate your ability to do the following activities in the last week by choosing the option below the that most accurately describes your pain.

Opening a tight jar

Doing heavy household chores (ex. wash walls, floors, etc.)

Carrying a shopping bag or briefcase

Wash your back

Use a knife to cut food

Recreational activities in which you take some force or impact through your arm, shoulder, or hand (ex. golf, hammering, tennis)

During the past week, top what extent has your arm, shoulder, or hand problem interfered with you normal social activities with family, friends, neighbors or groups? 

During the past week, were you limited in your work or other regular daily activities as a result of your arm, shoulder, or hand problem?

What was the severity of pain in your arm, shoulder, or hand?

What was the severity of tingling (pins and needles) in your arm, shoulder, or hand?

How much difficulty have you had sleeping because of the pain in your arm, shoulder