Carpal Tunnel Questionnaire
How severe is the hand or wrist pain that you have at night?
I do not have hand or wrist pain at night
Mild pain
Severe pain
Very severe pain
How often did hand or wrist pain wake you up during a typical night in the past two weeks?
Never
Once
Two or three times
Four or five times
More than five times
Do you typically have pain in your hand or wrist during the daytime?
I never have pain during the day
I have mild pain during the day
I have moderate pain during the day
I have very severe pain during the day
I have severe pain during the day
How often do you have hand or wrist pain during the daytime?
Never
Once or twice a day
Three to five times a day
More than five times a day
The pain is constant
How long on average does an episode of pain last during the daytime?
I never get pain during the day
Less than 10 minutes
10 to 60 minutes
Greater than 60 minutes
The pain is constant throughout the day
Do you have numbness (loss of sensation) in your hand?
No
I have mild numbness
I have moderate numbness
I have severe numbness
I have very severe numbness
Do you have weakness in your hand or wrist?
No weakness
Mild weakness
Moderate weakness
Severe weakness
Very severe weakness
Do you have tingling sensations in your hand?
No tingling
Mild tingling
Moderate tingling
Severe tingling
Very severe tingling
How severe is the numbness (loss of sensation) or tingling at night?
I have no numbness or tingling at night
Mild
Moderate
Severe
Very severe
How often did hand numbness or tingling wake you up during a typical night during the past two weeks?
Never
Once
Two or three times
Four or five times
More than five times
Do you have difficulty with the grasping and use of small objects such as keys or pencils?
No difficulty
Mild difficulty
Moderate difficulty
Severe difficulty
Very severe difficulty
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Thanks for taking part