Oxford Knee Score Oxford Knee Score Each question refers to your symptoms during the Last 4 weeks.All fields are required. Your name * Your DOB * Date of filling * 1. How would you describe the pain you usually have in your knee? * None Very Mild Mild Moderate Severe 2. Have you had any trouble washing and drying yourself (all over) because of your knee? * No trouble at all Very littel trouble Moderate trouble Extreme difficulty Impossible to do 3. 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) * No trouble at all Very littel trouble Moderate trouble Extreme difficulty Impossible to do 4. For how long are you able to walk before the pain in your knee becomes severe? (With or without a stick) * No pain > 60 minutes 16 - 60 minutes 5 - 15 minutes Around the house only Impossible to do 5. After a meal (sat at a table), how painful has it been for you to stand up from a chair because of your knee? * Not at all painful Slightly painful Moderately pain Very painful Unbearable 6. Have you been limping when walking, because of your knee? * Realy / never Somme tomes or just at frist Often, not just at frist Most of the time All of the time 7. Could you kneel down and get up again afterwards? * Yes, easily With little diffculty With moderate difficulty With extreme difficulty No, impossible 8. Are you troubled by pain in your knee at night in bed? * Not at all Only one or two nights Some nights Most nights Every night 9. How much has pain from your knee interfered with your usual work? (including housework) * Not at all A little bit Moderately Greatly Totally 10. Have you felt that your knee might suddenly give away or let you down? * Rarely / never Sometimes or just at first Often, not just at first Most of the time All of the time 11. Could you do household shopping on your own? * Yes, easily With little difficulty With moderate difficulty With extreme difficulty No, impossible 12. Could you walk down a flight of stairs? * Yes, easily With little difficulty With moderate difficulty With extreme difficulty No, impossible OKS functional component 0.00 column Z 0.00 OKS pain component 0.00 column Y 0.00 Final Score 0.00 Submit
