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PATIENTNAME:___MAN:___DATE:___PALMBEACHORTHOPAEDICINSTITUTE, P.A.
PTSHOULDERFUNCTIONALASSESSMENTQUESTIONNAIRE
Score:___
Problem:Right Left
Dominant:Right Left
Please read
:Thisquestionnairehasbeendesignedtogiveusinformationastohowyourshoulderpainhasaffected
yourabilitytomanageineverydaylife.
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01
Identify whether the individual is left-handed, right-handed, or ambidextrous.
02
Check if there are any specific forms or documents that require the individual's handedness to be indicated.
03
Provide a clear option or question asking for the individual's handedness preference.
04
If necessary, provide additional space for the individual to explain any unique circumstances regarding their handedness.
Who needs handedness can be explained?
01
Researchers studying motor skills and brain lateralization.
02
Educators or occupational therapists working with individuals with motor skill impairments.
03
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04
Product designers creating items such as tools or instruments that may benefit from handedness customization.
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What is handedness can be explained?
Handedness refers to the preferred use of one hand over the other, typically the right or left hand.
Who is required to file handedness can be explained?
There is no official requirement for individuals to file their handedness with any governing body.
How to fill out handedness can be explained?
As handedness is not a form that needs to be filled out, there are no specific instructions on how to do so.
What is the purpose of handedness can be explained?
The purpose of understanding handedness is to better understand human behavior and motor skills.
What information must be reported on handedness can be explained?
If handedness were to be reported, it would typically include whether a person is left-handed, right-handed, or ambidextrous.
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