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New West Physical Therapy 2810 W. 35th Street, Suite 2 Kearney, NE 68845 3082377388 SHOULDER QUESTIONNAIRE Name: DOB: Date: Address: City: Parent/Guardian Name: Parent/Guardian Phone: (Age: Grade:
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Start by accessing the shoulder u questionnaire.
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Read each question carefully and understand what information is being asked.
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Provide accurate and honest answers to the questions.
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Fill out each question one by one, following the given instructions.
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Who needs shoulder u questionnaire?

01
Individuals seeking medical assistance for shoulder-related issues.
02
Patients who have experienced shoulder pain or discomfort.
03
Athletes or individuals involved in sports activities that involve the use of shoulders.
04
Individuals who had shoulder injuries in the past.
05
People who want to assess their shoulder health or identify potential issues.
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The shoulder u questionnaire is a survey/questionnaire designed to gather information about shoulder pain and mobility.
Individuals experiencing shoulder pain or mobility issues are typically required to fill out the shoulder u questionnaire.
One can fill out the shoulder u questionnaire by providing accurate and detailed information about their shoulder pain or mobility concerns.
The purpose of the shoulder u questionnaire is to assess shoulder pain and mobility issues in individuals.
Information such as the severity of shoulder pain, range of motion limitations, and any previous treatments must be reported on the shoulder u questionnaire.
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