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Musculoskeletal health questionnaire (MSK-HQ)

This questionnaire is about your joint, back, neck, bone and muscle symptoms such as aches, pains and/or stiffness.

Please focus on the particular health problem(s) for which you sought treatment from this service.

Please chose the option that best describes you over the last 2 weeks.

1.  

Pain/stiffness during the day 


How severe was your usual joint or muscle pain and/or stiffness overall during the day in the last 2 weeks?

* required
2.  

Pain/stiffness during the night 


How severe was your usual joint or muscle pain and/or stiffness overall during the night in the last 2 weeks?

* required
3.  

Walking 


How much have your symptoms interfered with your ability to walk in the last 2 weeks?

* required
4.  

Washing/Dressing 


How much have your symptoms interfered with your ability to wash or dress yourself in the last 2 weeks?

* required
5.  

Physical activity levels 


How much has it been a problem for you to do physical activities (e.g. going for a walk or jogging) to the level you want because of your joint or muscle symptoms in the last 2 weeks?

* required
6.  

Work/daily routine 


How much have your joint or muscle symptoms interfered with your work or daily routine in the last 2 weeks (including work & jobs around the house)?

* required
7.  

Social activities and hobbies 


How much have your joint or muscle symptoms interfered with your social activities and hobbies in the last 2 weeks?

* required
8.  

Needing help 


How often have you needed help from others (including family, friends or carers) because of your joint or muscle symptoms in the last 2 weeks?

* required
9.  

Sleep 


How often have you had trouble with either falling asleep or staying asleep because of your joint or muscle symptoms in the last 2 weeks?

* required
10.  

Fatigue or low energy 


How much fatigue or low energy have you felt in the last 2 weeks?

* required
11.  

Emotional well-being 


How much have you felt anxious or low in your mood because of your joint or muscle symptoms in the last 2 weeks?

* required
12.  

Understanding of your condition and any current treatment 


Thinking about your joint or muscle symptoms, how well do you feel you understand your condition and any current treatment (including your diagnosis and medication)?

* required
13.  

Confidence in being able to manage your symptoms 


How confident have you felt in being able to manage your joint or muscle symptoms by yourself in the last 2 weeks (e.g. medication, changing lifestyle)?

* required
14.  

Overall impact 


How much have your joint or muscle symptoms bothered you overall in the last 2 weeks?

* required
15.  

Physical activity levels 


In the past week, on how many days have you done a total of 30 minutes or more of physical activity, which was enough to raise your heart rate? 


This may include sport, exercise and brisk walking or cycling for recreation or to get to and from places, but should not include housework or physical activity that is part of your job.

* required