10%
Which of these best describes you?
I have pain in left knee.
I have pain in right knee.
I have pain in both knees.
20%
Your pain is on the-
inner side of the knee(s).
outer side of the knee(s).
front portion of the knee(s).
entire knee(s).
30%
The pain -
is localized.
is vague.
radiates to the leg.
radiates to the thigh.
40%
You have had pain for-
a few days.
a few weeks.
a few months.
almost 6 months.
almost 1 year.
several years.
50%
How did the pain start?
after a fall.
motor vehicle injury.
work-related injury.
other
60%
Please rate your pain-
0
10
No Pain
Max Pain
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90%
Let’s get to know you a little better
I was born on
and I am a
select
Male
Female
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99%
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