Oxford Score

Oxford Score - Hip

Please answer the questions as they relate to the past four (4) weeks
Hip*

LeftRight
Name*

First NameLast Name
How would you describe the pain you usually have from your hip?*

NoneVery mildMildModerateSevere
Have you had any trouble washing and drying yourself all over because of your hip?*

No trouble at allVery little troubleModerate troubleExtreme difficultyImpossible to do
Have you had any trouble getting in and out of a car or using public transport because of your hip? *

No trouble at allVery little troubleModerate troubleExtreme difficultyImpossible to do
Have you been able to put on a pair of socks, stockings or tights?*

Yes, easilyWith little difficultyWith moderate difficultyWith extreme difficultyNo, impossible
Could you do the household shopping on your own?*

Yes, easilyWith little difficultyWith moderate difficultyWith extreme difficultyNo, impossible
How long have you been able to walk before pain in your hip becomes too severe? With or without a stick*

No pain/more than 30 mins16 - 30 mins5 - 15 minsAround the house onlyNot at all, pain severe when walking
Have you been able to climb a flight of stairs?*

Yes, easilyWith little difficultyWith moderate difficultyWith extreme difficultyNo, impossible
After a meal at a table, how painful has it been for you to stand up from a chair because of your hip?*

Not painful at allSlightly painfulModerately painfulVery painfulUnbearable
Have you been limping when walking because of your hip?*

Rarely/neverSometimes or just at firstOften, not just at firstMost of the timeAll the time
Have you had any sudden, severe pain (shooting, stabbing or spasm) from the affected hip?*

No daysOnly 1 - 2 daysSome daysMost daysEvery day
How much has pain from your hip interfered with your usual work? Including housework*

Not at allA little bitModeratelyGreatlyTotally
Have you been troubled by pain from your hip in bed at night?*

No nightsOnly 1 - 2 nightsSome nightsMost nightsEvery night
Should be Empty:

Oxford Score - Hip