Check your risk level for Knee Arthritis

*This tool does not replace an evaluation by a medical professional.

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Last Name*

Email*

Phone*

Date of Birth*

ZIP Code*

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Progress 25%

Check your risk level for Knee Arthritis

*This tool does not replace an evaluation by a medical professional.

How would you describe the pain you usually have in your knee?*

Have you had any trouble washing and drying your body because of your knee?*

Have you had any trouble getting in and out of the car, or using public transport because of your knee? (With or without a stick)*

For how long are you able to walk before the pain in your knee becomes severe? (With or without a stick)*

50%

Progress 50%

Check your risk level for Knee Arthritis

*This tool does not replace an evaluation by a medical professional.

After eating sitting at a table, how painful has it been for you to stand up from a chair because of your knee?*

Have you been limping when walking, because of your knee?*

Could you kneel down and get up afterwards?*

Are you troubled by pain in your knee in bed at night?*

75%

Progress 75%

Check your risk level for Knee Arthritis

*This tool does not replace an evaluation by a medical professional.

How much has your knee pain interfered with your usual work (including housework)?*

Have you been feeling as if your knee might suddenly give away or let you down?*

Could you do household shopping on your own?*

Could you walk down a flight of stairs?*

Total

HRA__c

75%

Progress 100%

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