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HIP RATING QUESTIONNAIRE Patient Name: Date: Please read carefully: Which hip is affected by arthritis? () Left () Right () Both Instructions: Please answer the following questions about the hip(s)

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How to fill out which hip is affected

01

To fill out which hip is affected, follow these steps:

02

Stand with your feet shoulder-width apart and your hands on your hips.

03

Shift your weight onto one leg and feel for any discomfort or pain in that hip.

04

Repeat the process with the other leg and compare the sensations in each hip.

05

Note down any differences or abnormalities in either hip.

06

Finally, consult a healthcare professional for a proper diagnosis and further guidance.

Who needs which hip is affected?

01

People who are experiencing hip pain or discomfort and want to identify which hip is affected.

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What is which hip is affected?

Which hip is affected refers to whether the left hip or right hip is experiencing pain, injury, or other issues.

Who is required to file which hip is affected?

Medical professionals such as doctors or physical therapists are typically required to document which hip is affected.

How to fill out which hip is affected?

To fill out which hip is affected, simply indicate whether it is the left hip or right hip that is experiencing symptoms.

What is the purpose of which hip is affected?

The purpose of documenting which hip is affected is to accurately diagnose and treat the issue.

What information must be reported on which hip is affected?

The information that must be reported includes the description of symptoms, any known injuries, and the duration of the issue.

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