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SHOULDER PAIN QUESTIONNAIRE Patient Name: Date: How long have you had shoulder pain? Check the words which describe your shoulder problem: Pain Stiffness Weakness Loss of Mobility Numbness Tingling
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How to fill out shoulder pain questionnaire

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How to fill out a shoulder pain questionnaire:

01
Start by carefully reading through the questionnaire. Take note of any instructions or specific information you need to provide.
02
Begin by providing your personal information such as your name, age, gender, and contact details. This is necessary for record-keeping purposes.
03
The questionnaire may ask you about the duration and frequency of your shoulder pain. Be as accurate as possible in describing when the pain started, how long it lasts, and if it occurs during specific activities or movements.
04
You may be asked to rate the intensity of your shoulder pain on a scale. Use the provided scale or descriptors to convey how severe your pain is.
05
The questionnaire may inquire about the location of your pain. Use diagrams or written descriptions to pinpoint where exactly you experience discomfort in your shoulder.
06
Be prepared to answer questions about any previous shoulder injuries, surgeries, or treatments you have undergone. This helps healthcare professionals understand your medical history accurately.
07
The questionnaire might ask about any specific movements or positions that aggravate or alleviate your shoulder pain. Provide details on any activities or factors that affect the severity or frequency of your pain.
08
In some cases, you may be asked to fill out a pain assessment scale such as the Visual Analog Scale (VAS) or Numerical Pain Rating Scale (NPRS). Follow the instructions closely to mark your pain level accurately.

Who needs a shoulder pain questionnaire:

01
Individuals suffering from shoulder pain or discomfort should consider filling out a shoulder pain questionnaire. This questionnaire helps healthcare professionals understand the details, causes, and potential solutions related to the shoulder pain.
02
People who have experienced shoulder injuries, surgeries, or chronic shoulder pain should also complete a shoulder pain questionnaire. This information aids healthcare providers in determining appropriate treatment plans and interventions.
03
Athletes or individuals engaging in physical activities that involve the shoulder joint and muscles can benefit from filling out a shoulder pain questionnaire. This allows medical professionals to assess any potential injuries or strains resulting from sports or strenuous activities.
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The shoulder pain questionnaire is a form that individuals fill out to report any discomfort or pain in their shoulder area.
Individuals experiencing shoulder pain or discomfort are required to fill out the shoulder pain questionnaire.
The shoulder pain questionnaire can be filled out by providing detailed information about the location, intensity, duration, and triggers of the shoulder pain.
The purpose of the shoulder pain questionnaire is to assess and document the symptoms of shoulder pain for proper diagnosis and treatment.
Information such as the location of pain, intensity, duration, triggers, and any accompanying symptoms must be reported on the shoulder pain questionnaire.
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