Hip dysfunction and Osteoarthritis Outcome Score for Joint Replacement (HOOS, JR.)
Pain
What amount of hip pain have you experienced the last week during the following activities?
1. Going up or down stairs
*
None
Mild
Moderate
Severe
Extreme
2. Walking on an uneven surface
*
None
Mild
Moderate
Severe
Extreme
Function, daily living
The following questions concern your physical function. By this we mean your ability to move around and to look after yourself. For each of the following activities please indicate the degree of difficulty you have experienced in the last week due to your hip.
3. Rising from sitting
*
None
Mild
Moderate
Severe
Extreme
4. Bending to floor/pick up an object
*
None
Mild
Moderate
Severe
Extreme
5. Lying in bed (turning over, maintaining hip position)
*
None
Mild
Moderate
Severe
Extreme
6. Sitting
*
None
Mild
Moderate
Severe
Extreme
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Completely optional. If you'd like us to follow-up with a call, please provide.
Format: (000) 000-0000.
Result
Form Name
Submit
Should be Empty: