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QuickDASH Questionnaire and Scoring

QuickDASH Questionnaire and Scoring - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Questionnaires


Q
uickDASH
INSTRUCTIONS
This questionnaire asks about your
symptoms as well as your ability to
perform certain activities.
Please answer every question, based
on your condition in the last week,
by circling the appropriate number.
If you did not have the opportunity
to perform an activity in the past
week, please make your best estimate
of which response would be the most
accurate.
It doesn’t matter which hand or arm
you use to perform the activity; please
answer based on your ability regardless
of how you perform the task.
THE
OUTCOME MEASURE


Please rate your ability to do the following activities in the last week by circling the number below the appropriate response.
NO MILD MODERATE SEVERE
UNABLE
DIFFICULTY DIFFICULTY DIFFICULTY DIFFICULTY
1. Open a tight or new jar. 12 345
2. Do heavy household chores (e.g., wash walls, floors). 12 345
3. Carry a shopping bag or briefcase. 12 345
4. Wash your back. 12 345
5. Use a knife to cut food. 12 345
6. Recreational activities in which you take some force
or impact through your arm, shoulder or hand
(e.g., golf, hammering, tennis, etc.).
12 345
NOT AT ALL SLIGHTLY MODERATELY
QUITE
EXTREMELY
A BIT
7. During the past week, to what extent has your
arm, shoulder or hand problem interfered with
your normal social activities with family, friends,
neighbours or groups?
1 2345
NOT LIMITED SLIGHTLY MODERATELY VERY
UNABLE
AT ALL LIMITED LIMITED LIMITED
8. 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?
12 345
NONE MILD MODERATE SEVERE EXTREME
9. Arm, shoulder or hand pain. 12 345
10. Tingling (pins and needles) in your arm,
shoulder or hand.
12 345
NO MILD MODERATE SEVERE
SO MUCH
DIFFICULTY DIFFICULTY DIFFICULTY DIFFICULTY
DIFFICULTY
THAT I
CAN’T SLEEP
11. During the past week, how much difficulty have
you had sleeping because of the pain in your arm,
shoulder or hand? (circle number)
1 2 3 4 5
A QuickDASH score may not be calculated if there is greater than 1 missing item.
QuickDASH DISABILITY/SYMPTOM SCORE = (sum of n responses) - 1 x 25, where n is equal to the number
of completed responses. n
QuickDASH
Please rate the severity of the following symptoms
in the last week. (circle number)
(
)