KOOS Knee Survey

INSTRUCTIONS: This survey asks for your view about your knee. This information will help us keep track of how you feel about your knee and how well you are able to perform your usual activities. Answer every question by entering the number that best fits your situation, using the scales above each section. If you are unsure about how to answer a question, please give the best answer you can.

Symptoms

These questions should be answered thinking of your knee symptoms during the last week.

0 - never, 1 - rarely, 2 - sometimes, 3 - often, 4 - always

Stiffness

The following questions concern the amount of joint stiffness you have experienced during the last week in your knee. Stiffness is a sensation of restriction or slowness in the ease with which you move your knee joint.

0 - none, 1 - mild, 2 - moderate, 3 - severe, 4 - extreme

Pain

What amount of knee pain have you experienced the last week during the following activities?

0 - none, 1 - mild, 2 - moderate, 3 - severe, 4 - extreme

Function, daily living

The following questions concern your physical function.  By this we mean your ability to move around and to look after yourself.  For each of the following activities please indicate the degree of difficulty you have experienced in the last week due to your knee.

Function, sports and recreational activities

The following questions concern your physical function when being active on a higher level.  The questions should be answered thinking of what degree of difficulty you have experienced during the last week due to your knee.  

Quality of Life

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Get in Touch

Address:
26302 La Paz Road, Suite 214

Mission Viejo, CA 92691

Phone Number:

Call Office : 949-359-8385

Text Office: 949-619-6545

Hours of Operation

Monday | 9:00am – 5:30pm

Tuesday | 9:00am – 5:30pm

Wednesday | 7:30am – 11:30am

Thursday | 9:00am – 5:30pm

Friday | Closed

Sat & Sun | Closed

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