Form 2 -
Upper limb issue form
Complete this form if you:
Have already been to Coogee Bay Physio (if not please complete form 1)
Have an issue with your shoulders, neck, arms, arm joints or hands.
About this form:
We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. Please provide an answer for each activity.
To discuss further or learn more about our clinic and treatment options please don’t hesitate to get in touch with us by clicking here.
Or, call us on (02) 9665 9667 during business hours.
Index source: Stratford PW, Binkley, JM, Stratford DM (2001): Development and initial validation of the upper extremity functional index. Physiotherapy Canada. 53(4):259-267.