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Get NY Hospital For Special Surgery WOMAC Survey Form 2010-2024

Ark each response with an X. If you are unsure about how to answer a question, please give the best answer you can. A. How much pain do you have (during the last 48 hours)? None 1. 2. 3. 4. 5. Mild Moderate Severe Extreme Walking on a flat surface Going up and down stairs At night while in bed, pain disturbs your sleep Sitting or lying Standing upright B. Think about the stiffness (not pain) you have in your hip/knee during the last 48 hours. None Mild Moderate Severe Extreme 6. How severe.

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