Choose HA
Prescribing Information: DUROLANEGELSYN-3SUPARTZ FX
Assesment tool

Assesment tool

1. How long have you been experiencing knee pain?

1. How long have you been experiencing knee pain?

2. Have you recently injured your knee?

2. Have you recently injured your knee?

3. How would you rate your knee pain on a scale of 1 (no pain) to 10 (unbearable pain) when resting?

(1 = No pain)(10 = The worst pain imaginable)

4. How would you rate your knee pain on a scale of 1 (no pain) to 10 (unbearable pain) with activity?

(1 = No pain)(10 = The worst pain imaginable)

5. What daily activities are more difficult due to your knee pain? Check all that apply.

6. What treatments have you tried to help with your knee pain? Check all that apply.

7. Has your knee ever become swollen or enlarged? If yes, how often?

8. Have you been diagnosed with osteoarthritis (OA) of the knee by a doctor or other healthcare professional?

9. What are your goals and expectations from treatment?

Download Assessment