This subjective questionnaire will give your health care practitioner a quick summary of symptoms or signs that may be related to joint health. It is not a substitute for professional medical advice from your health care provider. Do you have aches or pains in any of your joints, such as your knees, back, or hands? *YesNoHave you experienced joint pain over weeks, months, or years? *YesNoHave you been taking medication for joint pain? *YesNoDo you have an old joint injury that's been acting up? *YesNoDo you have back problems? *YesNoDo you have difficulty walking?*YesNoHave you experienced a decrease in your ability to reach without pain? *YesNoHas your range of motion decreased?*YesNoDo you experience pain relief with regular stretching and range of motion exercises? *YesNoAre you overweight? (This can cause extra pressure on your knees.) *YesNoName* First Last Phone*Email*