Forms iHot12

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Below is a validated outcome questionnaire with a number of questions aimed at younger active patients. The question uses scales that are always from ZERO to 100. Please answer with the amount of hearts. ZERO would mean that you are 0% normal and 10 would mean that you are 100% normal wrt the question asked.

MAHORN Hip Outcome Tool iHOT 12
-Quality of Life Questionnaire for Young, Active Patients with Hip Problems
Instructions:
-These questions ask about the problems you may be experiencing in your hip, how these problems affect your life, and the emotions you may feel because of these problems.
-Please answer each question with respect to the current status, function, circumstances and beliefs related to your hip.
-Consider the last month.

Please note:
-If you put a mark on the far left, it means that you feel you are significantly impaired.
-If you put a mark on the far right, it means that you do not think that you have any problems with your hip.
-If the mark is placed in the middle of the line, this indicates that you are moderately disabled, or in other words, between the extremes of ‘significantly impaired’ and ‘no problems at all’.
-It is important to put your mark at either end of the line if the extreme descriptions accurately reflect your situation

Number answer 0 - 100

This is not relevant to me

Number answer 0 - 100

Message

Questionnaire for Hip Patients Under 45

Questionnaire on your Hip Symptoms if you are under the age of 45

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