This free survey is powered by
Create a Survey
Surveys
2015
September
O
Oxford Knee score
Oxford Knee score
0%
Exit Survey
How would you describe the pain you usually have in your knee?
None
Very Mild
Mild
Moderate
Severe
How long can you walk before the pain in your knee becomes severe (with or without a walking aid)?
No pain for 60 minutes or more
16 - 60 minutes
5 - 15 minutes
Around the house only
Not at all
After a meal, how painful is it for you to stand up from a chair because of your knee?
Not at all painful
Slightly painful
Moderately painful
Very painful
Unbearable
Have you been troubled by pain from your knee in bed at night?
No nights
Only 1 or 2 nights
Some nights
Most nights
Every night
How much has pain from your knee interfered with your usual work, including housework?
Not at all
A little bit
Moderately
Greatly
Totally
During the past 4 weeks, could you walk down one flight of stairs?
Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible
During the past 4 weeks, could you do the household shopping on your own?
Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible
During the past 4 weeks, have you felt that your knee might suddenly give way or let you down?
Rarely / never
Sometimes or just at first
Often, not just at first
Most of the time
All of the time
During the past 4 weeks, could you kneel down and get up again?
Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible
During the past 4 weeks, have you been limping when walking, because of your knee?
Rarely / never
Sometimes or just at first
Often, not just at first
Most of the time
All of the time
Loading...
close
Loading...
Close
staticapp1.questionpro.net