DU SART - Knee Pain Test

Over the past 4 weeks, describe the pain you usually have from your knee?*

Over the past 4 weeks in bed at night, has knee pain troubled you?*

Over the past 4 weeks, have you been limping when walking because of your knee?*

Over the past 4 weeks, how long have you been able to walk before the pain from your knee becomes severe? (with or without a walking stick)*

Over the past 4 weeks, were you be able to walk down one flight of stairs?*

Over the past 4 weeks, after being seated at meal time, how painful has it been for you to stand up from a chair because of your knee?*

Over the past 4 weeks, how much has the pain from your knee interfered with your usual work (including household chores)?*

Over the past 4 weeks, have you had any trouble with washing and drying yourself (all over) because of your knee?*

Over the past 4 weeks, have you had any trouble getting in and out of a car or using public transport because of your knee (whichever you tend to use)?*

Over the past 4 weeks, could you kneel down and get up again afterwards?*

Over the past 4 weeks, have you felt your knee might ‘give way’ or let you down?*

Over the past 4 weeks, could you do the household shopping on your own?*

Name*

PrefixFirst NameLast Name

Email*

example@example.com

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