Male Questionnaire
Page 1(l) of 9

 
 
← You are on page 1l of 9
Report by The Analyst™
Click to see sample report
PREVIEW: THIS PAGE WILL NOT BE SAVED
We need your:
  • consent to use cookies
  • consent to collect data
  • name, age, and gender

Click here if you have already started the questionnaire and would like to continue.

Click here to start the questionnaire and receive your own detailed health analysis.

This section covers problems with your limbs – arms, hands, legs, feet.

Q119

Do you experience numbness, tingling, or burning sensations in your thumb and/or fingers, perhaps with pain in the wrists or hands and loss of grip strength? This is known as Carpal Tunnel Syndrome.
  • Never had it / don't know
  • Probably had it/minor episode(s) now resolved
  • Major episode(s) now resolved
  • Current minor problem
  • Current major problem

Q120

Do you suffer from pain in your arms that is hard to pinpoint?
  • Don't know
  • No
  • Yes, slight
  • Yes, moderate
  • Yes, severe

Q121

Do you suffer from pain in your hand(s) that is hard to pinpoint?
  • Don't know
  • No
  • Yes, slight
  • Yes, moderate
  • Yes, severe

Q122

Do you experience pain that radiates from your lower spine to your buttock, and down the back of your leg(s)? It is sometimes accompanied by numbness, tingling, or weakness. This is known as Sciatica.
  • I never had it / don't know
  • Probably/minor episode now resolved
  • Major episode now resolved
  • Current minor problem
  • Current major problem

Q123

Do you suffer from heel pain? Include pain at your heel or slightly forward of the heel on the bottom of your foot.
  • Don't know
  • No
  • Yes, but I am uncertain of what the cause is
  • Yes, diagnosed as plantar fasciitis
  • Yes, plantar fasciitis with heel spur(s)

Q124

Has your ability to walk declined within the past year for unknown reasons?
  • No change / reason known / don't know
  • A little, but I can still walk unaided
  • I need some assistance
  • I need a lot of assistance
  • I can no longer walk at all

Q125

Has your ability to use one or both of your arms declined within the past year for unknown reasons?
  • No change / reason known / don't know
  • Yes, a little
  • Yes, significantly
  • Yes, I am now almost unable to use my arms
  • I have now all arm function

Q126

Do your legs ever feel 'heavy', making it difficult to stand up, climb stairs, walk or stand?
  • Don't know
  • No
  • Sometimes slightly
  • Often slightly / sometimes severely
  • Often severely

Q127

Have you had Tendonitis, a painful condition involving inflammation, swelling, and irritation of a tendon?
  • Never had it / don't know
  • Probably had it/minor episode(s) now resolved
  • Major episode(s) now resolved
  • Current minor problem
  • Current severe problem
Report by The Analyst™
Click to see sample report
PREVIEW: THIS PAGE WILL NOT BE SAVED
We need your:
  • consent to use cookies
  • consent to collect data
  • name, age, and gender

Click here if you have already started the questionnaire and would like to continue.

Click here to start the questionnaire and receive your own detailed health analysis.

We use cookies for traffic analysis, advertising, and to provide the best user experience