PATIENT RATED WRIST/HAND EVALUATION Form
The questions below will help us understand how much difficulty you have had with your wrist /hand in the past week. You will be describing your average wrist/hand symptoms over the past week on a scale of 1 – 10.
Please provide an answer for ALL questions.
- If you did not perform an activity, please ESTIMATE the pain or difficulty you would expect.
- If you have never performed the activity, you may leave it blank