Use our readymade template to create your Quick DASH assessment tool for evaluating the physical function and symptoms in people with any or several musculoskeletal disorders of the upper limb
Create your care assessments
| Quick DASH score | Severity | Proposed treatment |
|---|---|---|
| 0-20 | Mild | May not need treatment |
| 21-40 | Moderate | Consider physical therapy |
| 41-60 | Severe | Consider surgery |
| 61-80 | Very severe | Immediate initiation |
| 81-100 | Extremely severe | Immediate initiation |
- Prebuilt template with Quick DASH scoring to assess the presence of upper limb disorders and measure its severity
- 11-item questionnaire that scores each of the 11 criteria as “1” (No difficulty/None/Not at all/Not limited at all) to “5” (Unable/Extreme/Extremely/Unable)
- Real-time calculation of Quick DASH Score based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Compare the scores from the initial screening with that of the followup to track the progression of upper limb disorders
- Easily create responsive forms that allow patients to complete their assessments on any device at any time
Collect responses from your patients
| Patient ID | 1004 |
| Patient Name | John W |
| Patient Email | johnw@ymail.com |
| Patient Phone Number | 0987654321 |
| Doctor's Name | Dr. Smith |
| Location | New York |
| 1. Open a tight or new jar. | Mild difficulty |
| 2. Do heavy household chores (eg wash walls, wash floors). | Moderate difficulty |
| 3. Carry a shopping bag or briefcase. | Severe difficulty |
| 4. Wash your back. | Unable |
| 5. Use a knife to cut food. | No difficulty |
| 6. Recreational activities in which you take some force or impact through your arm, shoulder or hand (eg golf, hammering, tennis, etc). | Mild difficulty |
| 7. During the past week, to what extent has your arm, shoulder or hand problem interfered with your normal social activities with family, friends, neighbours or groups? | Moderately |
| 8. During the past week, were you limited in your work or other regular daily activities as a result of your arm, shoulder or hand problem? | Very limited |
| 9. Arm, shoulder or hand pain. | Severe |
| 10. Tingling (pins and needles) in your arm, shoulder or hand. | Moderate |
| 11. During the past week, how much difficulty have you had sleeping because of the pain in your arm, shoulder or hand? | Extreme difficulty |
| DASH score | 45 |
- Pre-populate patient details such as patient id, name, email etc in the Quick DASH assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their Quick DASH assessment form prior to their visit
- Allow patients to save their progress and complete their Quick DASH assessment form at a later time without losing any responses
- Set up an email template for your Quick DASH assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their Quick DASH score, diagnosis, next steps when they submit their Quick DASH assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | John W | 1. Open a tight or new jar. | Mild difficulty | 2 | 45 |
| 3 | John W | 2. Do heavy household chores (eg wash walls, wash floors). | Moderate difficulty | 3 | 45 |
| 4 | John W | 3. Carry a shopping bag or briefcase. | Severe difficulty | 4 | 45 |
| 5 | John W | 4. Wash your back. | Unable | 5 | 45 |
| 6 | John W | 5. Use a knife to cut food. | No difficulty | 1 | 45 |
| 7 | John W | 6. Recreational activities in which you take some force or impact through your arm, shoulder or hand (eg golf, hammering, tennis, etc). | Mild difficulty | 2 | 45 |
| 8 | John W | 7. During the past week, to what extent has your arm, shoulder or hand problem interfered with your normal social activities with family, friends, neighbours or groups? | Moderately | 3 | 45 |
| 9 | John W | 8. During the past week, were you limited in your work or other regular daily activities as a result of your arm, shoulder or hand problem? | Very limited | 4 | 45 |
| 10 | John W | 9. Arm, shoulder or hand pain. | Severe | 4 | 45 |
| 11 | John W | 10. Tingling (pins and needles) in your arm, shoulder or hand. | Moderate | 3 | 45 |
| 12 | John W | 11. During the past week, how much difficulty have you had sleeping because of the pain in your arm, shoulder or hand? | Extreme difficulty | 5 | 45 |
- Export patient responses including the calculated Quick DASH score to Google Sheets for easy record-keeping
- Export individual points for 11 criteria to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their upper limb disorders symptoms
- Receive a copy of the response and the calculated Quick DASH score by email whenever a patient submits their Quick DASH assessment
- Use data in Google Sheets to integrate with external EHR systems for seamless data transfer
HIPAA compliance
| Patient ID: | 1004 |
| Patient Name: | ****** |
| Patient Email: | ****** |
| Patient Phone Number: | ****** |
| Doctor's Name: | Dr. Smith |
| Location: | New York |
| 1. Open a tight or new jar.: | Mild difficulty |
| 2. Do heavy household chores (eg wash walls, wash floors).: | Moderate difficulty |
| 3. Carry a shopping bag or briefcase.: | Severe difficulty |
| 4. Wash your back.: | Unable |
| 5. Use a knife to cut food.: | No difficulty |
| 6. Recreational activities in which you take some force or impact through your arm, shoulder or hand (eg golf, hammering, tennis, etc).: | Mild difficulty |
| 7. During the past week, to what extent has your arm, shoulder or hand problem interfered with your normal social activities with family, friends, neighbours or groups?: | Moderately |
| 8. During the past week, were you limited in your work or other regular daily activities as a result of your arm, shoulder or hand problem?: | Very limited |
| 9. Arm, shoulder or hand pain.: | Severe |
| 10. Tingling (pins and needles) in your arm, shoulder or hand.: | Moderate |
| 11. During the past week, how much difficulty have you had sleeping because of the pain in your arm, shoulder or hand?: | Extreme difficulty |
| DASH score: | 45 |
| DASH score: | 45 |
- Create a HIPAA compliant Quick DASH assessment form to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting Quick DASH form responses to Google Sheets and sending them on email
- Prepopulate patient details in Quick DASH assessments by creating secure prefill links without exposing PHI
- Limit access to patient data only for authorized personnel and minimize the risk of data breaches
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