Please choose the appropriate answer in the boxes below for each question. Answer questions from LEFT to RIGHT before going down to the next joint region. You should decide for yourself which (if any) body parts are or have been affected.
Use the body diagram to the right to reference if needed for a clearer understanding of joint regions. This questionnaire is based on discomfort that pertains to trouble with motion, movement, and pain for normal activities for that region. Your answers are NOT intended to diagnose an injury or disease.