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_____ NOT AT ALL. QuickDASH DISABILITYSYMPTOM SCORE sum of n responses - 1 x 25 where n is equal to the.


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This questionnaire asks about your symptoms as well as your ability to do certain activities.

. _____ The following questions concern information about your potential involvement with drugs not including alcoholic beverages during the past. Drug Screening Questionnaire DAST Using drugs can affect your health and some medications you may take. Please help us provide you with the best medical care by answering the.

Drug Use Questionnaire DAST - 20 A 10-item yesno self-report instrument designed to provide a brief instrument for clinical screening and treatment evaluation and can be used with. _____ The following questions concern information about your potential involvement with drugs not including alcoholic. SHOULDER AND HAND Name_____ Date_____ DOB_____ Total Dash Score.

A QuickDASH score may not be calculated if there is greater than 1 missing item. QUICK DASH Disability of Arm Shoulder and Hand This questionnaire has been designed to give your clinician information as to how your armshoulderhand pain andor dysfunction have. The DASH Disabilities of the Arm Shoulder and Hand Outcome Measure is a 30-item self-report questionnaire that measures physical function and symptoms in people with.

Drug Use Questionnaire DAST-20 Name. Please answer every question based on your condition in the last week by circling the. Manage transportation needs getting from one place to another.

The DASH score has been used to study the outcome of several common upper limb disorders and the principles of the World Health Organization on this scoring system were applied. DRUG USE QUESTIONNAIRE DAST-20 Name.


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