Knee Pain Analysis
When do you feel pain?
Bending your knee
You put weight on your knee
Do you suffer from buckling or
locking of the knee
Do you suffer with a near constant pain
whether sitting, standing or sleeping
Do you have popping or swelling
What is the cause of your knee pain?
An injury
Osteroarthrities
Other/Don't Know
How long have you been in pain?
1 to 3 Weeks
1 to 3 Months
3 Months to 1 Year
More than 1 year
Does the pain wake you up at night?
Yes, Frequently
Yes, Occasionally
NO
When do you feel pain?
Bending your knee
You put weight on your knee
Do you suffer from buckling or
locking of the knee
Do you suffer with a near constant pain
whether sitting, standing or sleeping
Do you have popping or swelling
What is the cause of your knee pain?
An injury
Osteroarthrities
Other/Don't Know
How long have you been in pain?
1 to 3 Weeks
1 to 3 Months
3 Months to 1 Year
More than 1 year
Does the pain wake you up at night?
Yes, Frequently
Yes, Occasionally
NO
How often do you notice the pain?
Every Day
Several Days per Week
One Day per Week
Less than One Day per Week
How would you describe the pain?
Severe
Moderate
Minor
Slight/Insignificant
Every Day
Several Days per Week
One Day per Week
Less than One Day per Week
How would you describe the pain?
Severe
Moderate
Minor
Slight/Insignificant
