- You and your knees
- Your fitness level
- Previous treatments
- Your treatment goals
Summary
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How long have you been experiencing knee pain?
Your answer:
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Have you been diagnosed with osteoarthritis of the knee(s)?
Your answer:
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How would you describe your level of knee pain?
Your answer:
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How satisfied are you with your ability to exercise?
Your answer:
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How would you rate your level of knee pain during the following activities?
Your answer:
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Activity:
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Sitting:
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Standing:
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Walking:
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Going up and down stairs:
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At night resting in bed:
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Which osteoarthritis treatments have you tried?
(select all that apply)Your answer:
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What are the most important activities you’d like to get back to:
Your answer:
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Include any other notes or questions you’d like to include on your report:
Your answer: