QUICK DASH
Please rate your ability to do the following activities in the last week by circling the number next to the appropriate
response.
Mild
No Difficulty Moderate Difficulty Severe Difficulty Unable
Difficulty
1. Open a tight or new jar. 1 2 3 4 5
2. Do heavy household chores. (e.g.,
1 2 3 4 5
wash walls, floors)
3. Carry a shopping bag or briefcase. 1 2 3 4 5
4. Wash your back. 1 2 3 4 5
5. Use a knife to cut food. 1 2 3 4 5
6. Recreational activities in which
you take some force or impact
1 2 3 4 5
through your arm, shoulder or hand.
(e.g., golf, hammering, tennis, etc.)
Not at all Slightly Moderately Quite a Bit Extremely
7. During the past week, to what
extent has your arm, shoulder or
hand problem interfered with your 1 2 3 4 5
normal social activities with family,
friends, neighbors or groups?
Not Limited At
Slightly Limited Moderately Limited Very Limited Unable
All
8. During the past week, were you
limited in your work or other regular
1 2 3 4 5
daily activities as a result of your
arm, shoulder or hand problem?
Please rate the severity of the symptoms in the last week (circle number)
None Mild Moderate Severe Extreme
9. Arm, shoulder or hand pain. 1 2 3 4 5
10. Tingling (pins and needles) in
1 2 3 4 5
your arm, shoulder or hand.
So Much
Mild
No Difficulty Moderate Difficulty Severe Difficulty Difficulty That
Difficulty
I Can’t Sleep
11. During the past week, how much
difficulty have you had sleeping
1 2 3 4 5
because of pain in your arm,
shoulder or hand? (circle number)
QuickDash Disability/Symptom Score - , where n is equal to the number of
completed responses.
*A QuickDash score may not be calculated if there is greater than 1 missing item.
