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Office Use Only: Provider Patient COMPREHENSIVE SHOULDER QUESTIONNAIRE Name: Date: This questionnaire has been designed to assist in the evaluation of your shoulder problem. Please mark where indicated
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How to fill out comprehensive shoulder questionnaire
How to fill out a comprehensive shoulder questionnaire:
01
Start by carefully reading each question in the questionnaire. Take note of any specific instructions or requirements for filling out the form.
02
Provide accurate and honest answers to each question. Remember that the purpose of the questionnaire is to gather important information about your shoulder health and any related issues or concerns.
03
If you are unsure about how to answer a particular question, don't hesitate to seek clarification from a healthcare professional or the person administering the questionnaire. It is essential to provide the most accurate information possible.
04
Take your time and don't rush through the questionnaire. Make sure to double-check your answers for accuracy before submitting it.
Who needs a comprehensive shoulder questionnaire:
01
Individuals who are experiencing shoulder pain, discomfort, or limited mobility. The questionnaire helps identify the specific areas and nature of the shoulder problem.
02
Patients who have undergone shoulder surgery or are scheduled for shoulder surgery. The questionnaire helps in assessing the effectiveness of the surgical procedure and monitoring the patient's progress during the rehabilitation process.
03
Athletes or individuals involved in sports or physical activities that put repeated stress on their shoulders. The questionnaire helps in identifying potential shoulder injuries or conditions that may require further evaluation or treatment.
Overall, anyone seeking a comprehensive assessment of their shoulder health, including patients, athletes, and individuals experiencing shoulder pain or discomfort, may benefit from completing a comprehensive shoulder questionnaire.
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What is comprehensive shoulder questionnaire?
Comprehensive shoulder questionnaire is a detailed form used to gather information about a patient's shoulder health, including symptoms, medical history, and functional limitations.
Who is required to file comprehensive shoulder questionnaire?
Patients who are seeking medical treatment for shoulder-related issues are usually required to fill out a comprehensive shoulder questionnaire.
How to fill out comprehensive shoulder questionnaire?
Patients can fill out the comprehensive shoulder questionnaire by providing accurate and detailed information about their shoulder pain, medical history, and any limitations in shoulder movement.
What is the purpose of comprehensive shoulder questionnaire?
The purpose of the comprehensive shoulder questionnaire is to help healthcare providers assess the severity of shoulder issues, create effective treatment plans, and track progress over time.
What information must be reported on comprehensive shoulder questionnaire?
Patients must report their symptoms, any previous shoulder injuries or surgeries, medical conditions, medications, and any limitations in shoulder movement.
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