Hip / Knee Score Assessment

The Hip/Knee Score Assessment is designed to assess function and pain in your joints. Please complete this self-assessment. You will be submitting these results to your GP.

Please be aware that any replies from the surgery may appear in your junk or spam inbox.

Hip/Knee Score Assessment

Hip/Knee Score Assessment

Section

Confirmation *

If you are using a UK mobile number, please use the format 07xxxxxxxxx

Please specify the joint affected: *
Please specify which area is affected: *

Please complete the following:

How bad is your hip/knee pain? *
How bad is your night pain? *
How far can you walk? *
How often do you need painkillers? *
Is your pain getting worse? *
Are you prepared to consider major joint replacement surgery? *
Are you a carer? *
Do you rely on a carer? *
*