SPORTS/PERFORMING ARTS MODULE (OPTIONAL)

The following questions relate to the impact of your arm, shoulder or hand problem on playing your musical instrument or
sport or both. If you play more than one sport or instrument (or play both), please answer with respect to that activity which is
most important to you.
Please indicate the sport or instrument which is most important to you:__________________________________________
Please select only one answer that best describes your physical ability in the past week.

 

It is important you tick only one box per question

 

Did you have any difficulty:

1. using your usual technique for playing your instrument or sport?

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable


2. playing your musical instrument or sport because
of arm, shoulder or hand pain?

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable

 

3. playing your musical instrument or sport as well as you would like?

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable


4. spending your usual amount of time practising or playing your instrument or sport?

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable

 

Your QuickDASH sport/ performing arts total is:

SCORING THE OPTIONAL MODULES: Add up assigned values for each response; divide 4 (number of items); subtract 1; multiply by 25.
An optional module score may not be calculated if there are any missing items.