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Evaluation

Do you have a disorder with your shoulder, arm, elbow, wrist or hand that interferes with your daily activities?

Please indicate which of the following things you have difficulty in doing because of your symptoms.

Sleeping

Writing

Opening jars

Picking up small objects with fingers

Driving a car more than 30 minutes

Opening a door

Carrying milk jug from the refrigerator

Washing dishes

Results

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