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Date of completion

The Disabilities of the Arm, Shoulder and Hand (DASH) Score - Work Module

Clinician's name (or ref)
Patient's name (or ref
 

The following questions ask about the impact of your arm, shoulder or hand problem on your ability to work (including homemaking if that is your main work role).

Do you work ?
 
No (You may skip this section)
Yes Please indicate what your job/work is   and then answer the questions below
 
Select which best describes your physical ability in the past week. Did you have any difficulty.....
No difficulty

Mild difficulty

Moderate difficulty
Severe difficulty
Unable
1.
Using your usual technique for your work?
2.

Doing your usual work because of arm, shoulder or hand pain?

3.
Doing your work as well as you would like?
4.

Spending you usual amount of time doing your work?

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The Disabilies of the Arm, Shoulder and Hand - work module  

This score may not be calculated if there are any missing items.

Reference for Score: Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG)
Am J Ind Med. 1996 Jun;29(6):602-8. Erratum in: Am J Ind Med 1996 Sep;30(3):372.
The Institute for Work & Health are the copyright owners of the DASH and QuickDASH Outcome Measures (http://www.dash.iwh.on.ca/)