www.orthopaedicscores.com
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Date of completion
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WOMAC Score |
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Patient's name (or ref
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Clinician's name (or ref)
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Patient's d.o.b
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INSTRUCTIONS: This survey asks for your view about your knee. This information will help us keep track of how you feel about your knee and how well you are able to do your usual activities.
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Answer every question by ticking the appropriate box. If you are unsure about how to answer a question, please give the best answer you can. |
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Thank you very much for completing all the questions in this questionnaire. |
Nb: This page cannot be saved due to patient data protection so please print the filled in form before closing the window.
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The Womac score is
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Reference for Score: Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS)--development of a self-administered outcome measure.
J Orthop Sports Phys Ther. 1998 Aug;28(2):88-96. Link
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