Call: 02036 332288

Book Appointment
Book Appointment

Lysholm Knee Questionnaire

Each question refers to your symptoms during the Last 4 weeks.
All fields are required.

Your name *
Your DOB *
Date of filling *
1. Limp *
2. Support *
3. Locking *
4. Instability *
5. Pain *
6. Swelling *
7. Stair climbing *
8. Squatting *

Activity level

Please choose your activity levels before the injury, activity level now and Activity level after surgery (if applicable)

Before the injury *
Activity level now *
Activity level after surgery *
Score
0.00
Book Appointment

Call: 02036 332288

Scroll to Top