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Home
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Self-assessment surveys
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ASES (American Shoulder and Elbow Surgery) Shoulder Score
ASES (American Shoulder and Elbow Surgery) Shoulder Score
1 / 16
The following questions are meant for your impaired shoulder.
Please choose one of the options
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2 / 16
Does your shoulder hurt during night time?
Please choose one of the options
Yes
No
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Next
3 / 16
Do you take painkillers like Paracetamol, Diclofenac or Profenid?
Please choose one of the options
Yes
No
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Next
4 / 16
Do you take strond painkillers like Codeine, Tramadol or Morphine?
Please choose one of the options
Yes
No
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Next
5 / 16
What is your average tablet intake per day?
Please choose one of the options
I do not take pills
One
Two
More
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Next
6 / 16
How do you rate the pain that you're exeriencing?
Please choose one of the options
0 - No pain
1
2
3
4
5
6
7
8
9
10 - Worst Possible Pain
Previous
Next
7 / 16
Do you have difficulties to put on an outerwear like a coat or a jacket?
Please choose one of the options
No
Moderate
Very difficult
Not Possible
Previous
Next
8 / 16
Do you have difficulties sleeping on the impaired shoulder?
Please choose one of the options
No
Moderate
Very difficult
Not Possible
Previous
Next
9 / 16
Do you have difficulties when washing/rubbing your back or when putting on/taking off a brassiere?
Please choose one of the options
No
Moderate
Very difficult
Not Possible
Previous
Next
10 / 16
Do you have difficulties when taking a bath, shaving or putting shades?
Please choose one of the options
No
Moderate
Very difficult
Not Possible
Previous
Next
11 / 16
Do you have difficulties when comb your hair?
Please choose one of the options
No
Moderate
Very Difficult
Not Possible
Previous
Next
12 / 16
Do you have difficulties when taking/placing objects on a higher shelf?
Please choose one of the options
No
Moderate
Very difficult
Not Possible
Previous
Next
13 / 16
Do you have difficulties when lifting heavy objects above shoulder level?
Please choose one of the options
No
Moderate
Very difficult
Not Possible
Previous
Next
14 / 16
Do you have difficulties when throwing a ball overhead?
Please choose one of the options
No
Moderate
Very difficult
Not Possible
Previous
Next
15 / 16
Do you have difficulties when doing your daily routines?
Please choose one of the options
No
Moderate
Very difficult
Not Possible
Previous
Next
16 / 16
Do you have difficulties while playing sports?
Please choose one of the options
No
Moderate
Very Difficult
Not Possible
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