Pre-Consultation Questionnaire

Save time prior to your visit

These surveys ask for your opinion about your hip or knee and help us to understand how well you are able to complete your usual activities. We use this information to direct your treatment and also to help measure successful outcomes after treatment.

What is HOOS JR and KOOS JR?

The Hip Disability and Osteoarthritis Outcomes Score for Joint Replacement (HOOS JR), and Knee Disability and Osteoarthritis Outcomes Score for Joint Replacement (KOOS JR) are scored by summing your responses to the survey questions and then converting the result to an interval score.

The interval score ranges from 0 to 100 where 0 represents total knee disability and 100 represents perfect knee health.

It is important that you respond to the questions open and honestly to save time and ensure the best treatment plan for you.

Complete Questionnaire Below

Answer each question by ticking the appropriate box (only one box for each question). If you are uncertain about how to answer a question, please give the best answer you can.

Please choose one:

HOOS JR (HIP SURVEY)
KOOS JR (KNEE SURVEY)
Dr Matthew Broadhead Profile Image

Dr Matthew Broadhead
ORTHOPAEDIC SURGEON

BSc(Med) MBBS(Hons) ChM PhD FRACS FAOrthA

Consulting in Coffs Harbour, Nambucca, South West Rocks and Yamba.

Useful Links

Bachelor of Medicine, Bachelor of Surgery BSc(Med) MBBS(Hons), University of New South Wales
Fellow of the Royal Australasian College of Surgeons FRACS
Fellow of the Australian Orthopaedic Association FAOrthA
Doctor of Philosophy PhD, University of Melbourne
Master of Surgery ChM, University of Edinburgh, Royal College of Surgeons Edinburgh

Hip Disability & Osteoarthritis Outcomes Score for Joint Replacement

This survey asks for your opinion about your hip and helps us understand how well you are able to complete your usual activities. Answer each question by ticking the appropriate box (only one box for each question). If you are uncertain about how to answer a question, please give the best answer you can.

Knee injury and Osteoarthritis Outcomes Score for Joint Replacement

This survey asks for your opinion about your knee and helps us understand how well you are able to complete your usual activities. Answer each question by ticking the appropriate box (only one
box for each question). If you are uncertain about how to answer a question, please give the best answer you can.

Stiffness
Stiffness is a sensation of restriction or slowness in the ease with which you move your knee joint.