SHOULDER, ARM, & HAND

Regenexx in Oklahoma

UPPER EXTREMITY

Instructions

This questionnaire has been designed to provide you and your treating physician with information regarding the severity of your shoulder, arm, and hand symptoms and the level of disability from your upper extremity problems.

 

Please answer every question and select the option that MOST ACCURATELY applies to you and your symptoms.

 

This questionnaire should not be utilized in the place of a qualified medical professional. All users agree to the orthobiogen.com disclaimer, which can be found at the bottom of this page when using any content made available through this site. All information provided on www.orthobiogen.com is for informational purposes only.

 

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