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Knee Injury and Osteoarthritis Outcome Score (KOOS)
Nameyour full name
Never Monthly Weekly Daily Always
How often is your knee painful?
What degree of pain have you experienced the last week when…?
None Mild Moderate Severe Extreme
P2 Twisting/pivoting on your knee
P3 Straightening knee fully
P4 Bending knee fully
P5 Walking on flat surface
P6 Going up or down stairs
P7 At night while in bed
P8 Sitting or lying
P9 Standing upright
Symptoms
None Mild Moderate Severe Extreme
Sy1 How severe is your knee stiffness after first wakening in the morning?
Sy2 How severe is your knee stiffness after sitting, lying, or resting later in the day?
Sy3 Do you have swelling in your knee?
Sy4 Do you feel grinding, hear clicking or any other type of noise when your knee moves?
Sy5 Does your knee catch or hang up when moving?
Sy6 Can you straighten your knee fully?
Sy7 Can you bend your knee fully?
What difficulty have you experienced the last week…?
None Mild Moderate Severe Extreme
A1 Descending
A2 Ascending stairs
A3 Rising from sitting
A4 Standing
A5 Bending to floor/picking up an object
A6 Walking on flat surface
A7 Getting in/out of car
A8 Going shopping
A9 Putting on socks/stockings
A10 Rising from bed
A11 Taking off socks/stockings
A12 Lying in bed (turning over, maintaining knee position)
A13 Getting in/out of bath
A14 Sitting
A15 Getting on/off toilet
A16 Heavy domestic duties (shovelling, scrubbing floors, etc)
A17 Light domestic duties (cooking, dusting, etc)
Knee-related quality of life
Never Monthly Weekly Daily Always
Q1 How often are you aware of your knee problems?
Not at all Mildly Moderately Severely Totally
Q2 Have you modified your lifestyle to avoid potentially damaging activities to your knee?
How troubled are you with lack of confidence in your knee?
None Mild Moderate Severe Extreme
Q4 In general, how much difficulty do you have with your knee?
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