Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Quickdash

Get Quickdash

QuickDASH FollowUp & DischargePatient name: Date: 1. Please rate your pain level with activity: NO PAIN 0 1 2 3 4 5 6 7 8 9 10 VERY SEVERE PAIN 2. How satisfied are you with the level of care.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Quickdash online

Filling out the Quickdash form is a vital step in assessing your progress and satisfaction regarding therapy outcomes. This guide will provide you with clear steps to accurately complete the form online, ensuring your responses are well-documented for optimal care.

Follow the steps to complete the Quickdash form

  1. Click 'Get Form' button to obtain the form and open it in the editor.
  2. Enter your name in the 'Patient name' section, followed by the date in the appropriate field.
  3. Rate your pain level with activity on a scale from 0 (no pain) to 10 (very severe pain). Circle the number that best describes your experience.
  4. Indicate your satisfaction with the level of care and service provided by selecting one of the options ranging from 'very satisfied' to 'very unsatisfied.'
  5. Assess your progress with functional activities since the start of therapy, choosing from four options: excellent, good, fair, or poor.
  6. Evaluate whether your therapy goals have been met by selecting from the options ranging from 'completely met' to 'not met.'
  7. Rate your ability to perform listed activities from the past week by circling the number that corresponds to your level of difficulty for each task.
  8. Assess the extent to which your arm, shoulder, or hand issues have interfered with your normal social activities and daily activities over the past week.
  9. Rate the severity of symptoms you have experienced in the past week, including pain and tingling sensations, by circling the corresponding numbers.
  10. Lastly, determine how much difficulty you have had sleeping due to pain in your arm, shoulder, or hand, and circle the appropriate number.
  11. Once all sections are completed, ensure to save your changes. You may also download, print, or share the completed form as needed.

Complete your Quickdash form online today for a comprehensive assessment of your therapy progress.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Development of the QuickDASH: comparison of three...
The concept-retention version is named the QuickDASH. It contains eleven items and is...
Learn more
The QuickDASH Outcome Measure: Questionnaire - USF...
A QuickDASH score may not be calculated if there is greater than 1 missing item. QuickDASH...
Learn more
Download the manual as a single PDF
Additionally, you can perform a quick dash move while orbiting a target-simply tap the B...
Learn more

Related links form

Housing Benefit And Council Tax Reduction Application Form. Housing Benefit And Council Tax Borough Of Bellmawr Zoning PERMIT Form: (sheds, Fence And Concrete ONLY) Corrective Action Notice (HR-19) Little Sioux Corn Processors Will Award Two Annual Scholarships Per Participating High School To

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

At least 10 of the 11 items must be completed for a score to be calculated and the scores range from 0 (no disability) to 100 (most severe disability). This score was designed be useful in patients with any musculoskeletal disorder of the upper limb.

The ranges listed for QuickDASH scores are normal (0-20); mild (21-40); moderate (41-60); and severe (61-80).

At least 10 of the 11 items must be completed for a score to be calculated and the scores range from 0 (no disability) to 100 (most severe disability). This score was designed be useful in patients with any musculoskeletal disorder of the upper limb.

the DASH and QuickDASH was 0.01 (95% CI -0.05–0.07) indicating similar discriminant ability. Cross-sectional and test-retest reliability of the DASH and QuickDASH were similar. precision in upper extremity disorders.

Why are the DASH and QuickDASH scaled so that "0" indicates good status and "100" indicates poor status? Answer: The DASH and QuickDASH were designed to be disability questionnaires. As such, scaling was ranked from 0 indicating least disability to 100 indicating most disability.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Quickdash
Get form
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Form Packages
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
Form Categories
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
Customer Service
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
Legal Guides
  • Real Estate Handbook
  • All Guides
Prepared for you
  • Notarize
  • Incorporation services
Our Customers
  • For Consumers
  • For Small Business
  • For Attorneys
Our Sites
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program