DASH Questionnaire

Disabilities of the Arm, Shoulder and Hand — Center of Movement

This questionnaire measures your ability to perform certain upper extremity activities. Please rate your ability to do the following activities in the last week by selecting the most appropriate response. You must answer at least 27 of the 30 items.

Core Questionnaire (0/30)

1. Open a tight or new jar

2. Write

3. Turn a key

4. Prepare a meal

5. Push open a heavy door

6. Place an object on a shelf above your head

7. Do heavy household chores (wash walls, floors)

8. Garden or do yard work

9. Make a bed

10. Carry a shopping bag or briefcase

11. Carry a heavy object (over 10 lbs)

12. Change a lightbulb overhead

13. Wash or blow dry your hair

14. Wash your back

15. Put on a pullover sweater

16. Use a knife to cut food

17. Recreational activities requiring little effort (card playing, knitting)

18. Recreational activities requiring force or impact (golf, hammering)

19. Recreational activities that move your arm freely (frisbee, badminton)

20. Manage transportation needs (getting from one place to another)

21. Sexual activities

22. During the past week, to what extent has your arm, shoulder, or hand problem interfered with your normal social activities with family, friends, neighbors, or groups?

23. Were you limited in your work or other regular daily activities as a result of your arm, shoulder, or hand problem during the past week?

24. Arm, shoulder, or hand pain

25. Arm, shoulder, or hand pain when performing any specific activity

26. Tingling (pins and needles) in your arm, shoulder, or hand

27. Weakness in your arm, shoulder, or hand

28. Stiffness in your arm, shoulder, or hand

29. During the past week, how much difficulty have you had sleeping because of the pain in your arm, shoulder, or hand?

30. I feel less capable, less confident, or less useful because of my arm, shoulder, or hand problem

Optional Modules

Complete these only if they apply to you.