Oxford Shoulder 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 worst pain you had from your shoulder? * None Mild Moderate Severe Unbearable 2. How would you describe the pain you usually had from your shoulder? * None Very Mild Mild Moderate Severe 3. How much has pain from your shoulder interfered with your usual work (including housework)? * Not at all A little bit Moderately Greatly Totally 4. Have you been troubled by pain from your shoulder in bed at night? * No nights Only 1 or 2 nights Some nights Most nights Every nights 5. Have you had any trouble dressing yourself because of your shoulder? * No trouble Little trouble Moderate trouble Extreme difficulty Impossible to do 6. Have you had any trouble getting in and out of a car or using public transport because of your shoulder? * No trouble Little trouble Moderate trouble Extreme difficulty Impossible to do 7. Have you been able to use a knife and fork at the same time? * Yes, easily With little difficulty With moderate difficulty With extreme difficulty No, impossible 8. Could you do the household shopping on your own? * Yes, easily With little difficulty With moderate difficulty With extreme difficulty No, impossible 9. Could you carry a tray containing a plate of food across a room? * Yes, easily With little difficulty With moderate difficulty With extreme difficulty No, impossible 10. Could you brush/comb your hair with the affected arm? * Yes, easily With little difficulty With moderate difficulty With extreme difficulty No, impossible 11. Could you hang your clothes up in a wardrobe, using the affected arm? (whichever you tend to use) * Yes, easily With little difficulty With moderate difficulty With extreme difficulty No, impossible 12. Have you been able to wash and dry yourself under both arms? * Yes, easily With little difficulty With moderate difficulty With extreme difficulty No, impossible Score 0.00 Submit
