QuickDASH The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire is designed to assess your ability to perform certain activities. Please answer the questions below to generate your QuickDASH score. "*" indicates required fields Name First Last Please rate your ability to do the following activities in the last week.1. Open a tight or new jar.* Not difficult Mildly difficult Moderately difficult Severely difficult Impossible 2. Do heavy household chores (e.g., wash walls, wash floors).* Not difficult Mildly difficult Moderately difficult Severely difficult Impossible 3. Carry a shopping bag or briefcase.* Not difficult Mildly difficult Moderately difficult Severely difficult Impossible 4. Wash your back* Not difficult Mildly difficult Moderately difficult Severely difficult Impossible 5. Use a knife to cut food.* Not difficult Mildly difficult Moderately difficult Severely difficult Impossible 6. Recreational activities in which you take some force or impact through your arm, shoulder, or hand (e.g., golf, hammering, tennis, etc.).* Not difficult Mildly difficult Moderately difficult Severely difficult Impossible 7. During the past week, to what extent has your arm, shoulder or hand problem interfered with your normal social activities with family, friends, neighbours or groups?* Not at all Slightly Moderately Quite a bit Extremely 8. During the past week, were you limited in your work or other regular daily activities as a result of your arm, shoulder or hand problem?* Not limited at all Slightly limited Moderately limited Very limited Impossible Please rate the severity of the following symptoms in the last week.9. Arm, shoulder or hand pain.* None Mild Moderate Severe Extreme 10. Tingling (pins and needles) in your arm, shoulder or hand.* None Mild Moderate Severe Extreme 11. During the past week, how much difficulty have you had sleeping because of the pain in your arm, shoulder or hand?* Not difficult Mildly difficult Moderately difficult Severely difficult So much difficulty that I can’t sleep Question 1Question 7Question 10Question 14Question 16Question 18Question 22Question 23Question 24Question 26Question 29We can’t calculate a DASH score unless you answer at least 27 questions.Questions AnsweredNumber of questions answeredWe can’t calculate a DASH score unless you answer at least 10 questions.Quick Disabilities of the Arm, Shoulder and Hand ScoreDASH DISABILITY/SYMPTOM SCORE = [(sum of n responses) – 1] x 25, where n is equal to the number of completed responses. A DASH score may not be calculated if there are greater than 3 missing items.Protected by reCAPTCHA